| Bystrom Counseling And Consultation | |
|
2637 27th Ave S Ste 231 Minneapolis MN 55406-3196 | |
| (612) 499-3508 | |
| Not Available |
| Full Name | Bystrom Counseling And Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 2637 27th Ave S Ste 231, Minneapolis, Minnesota |
| Authorized Official Name and Position | Janet Bystrom (OWNER) |
| Authorized Official Contact | 6124993508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bystrom Counseling And Consultation 4236 Columbus Ave Minneapolis MN 55407-3115 Ph: (612) 499-3508 | Bystrom Counseling And Consultation 2637 27th Ave S Ste 231 Minneapolis MN 55406-3196 Ph: (612) 499-3508 |
| NPI Number | 1700232378 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 08/15/2016 |
| Medicare PECOS PAC ID | 9638463854 |
|---|---|
| Medicare Enrollment ID | O20160811001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700232378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janet E Bystrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417124256 PECOS PAC ID: 6608179015 Enrollment ID: I20160120002368 |
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