Theron Bradley Nystrom
Theron Bradley Nystrom is a Mental Health Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2018
Practice location Address checks out
1014 Main StVancouver, WA 98660-3151
Phone: (360) 695-1014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence CG60883880 (WA) |
|---|
Record details
| NPI number | 1932689510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2018 |
| Last updated in NPPES | August 14, 2018 |
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