Individual provider · Type 1 NPI
Walter Nystrom, LPC
Professional Counselor · San Antonio, TX
NPI number
1174689079
Active
Practice location
7272 Wurzbach Rd, Suite 601
San Antonio, TX 78240-4801
Fax (210) 615-2279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 14898 (TX) |
Professional Counselor: Definition to come...
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About NPI 1174689079
Walter Nystrom, LPC's National Provider Identifier is 1174689079, issued on Dec 28, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Feb 26, 2008.