| Melissa Nystuen Counseling Services Llc | |
|
17 South Main Street Crosby ND 58730 | |
| (701) 641-1465 | |
| Not Available |
| Full Name | Melissa Nystuen Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17 South Main Street, Crosby, North Dakota |
| Authorized Official Name and Position | Melissa F Nystuen (CLINICAL THERAPIST) |
| Authorized Official Contact | 7016411465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Nystuen Counseling Services Llc Po Box 136 Crosby ND 58730-0136 Ph: (701) 641-1465 | Melissa Nystuen Counseling Services Llc 17 South Main Street Crosby ND 58730 Ph: (701) 641-1465 |
| NPI Number | 1467900209 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Medicare PECOS PAC ID | 8921389347 |
|---|---|
| Medicare Enrollment ID | O20161223000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467900209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4400 (North Dakota) | Primary |
| Provider Name | Melissa F Nystuen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538504782 PECOS PAC ID: 8224332085 Enrollment ID: I20160215002369 |
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