Individual provider · Type 1 NPI
Mat F. Nyquist, MS LPC
Professional Counselor · Salem, OR
NPI number
1205074176
Active
Practice location
388 State St # 710
Salem, OR 97301
Fax (503) 339-1972
Mailing address
2176 Childs Ave NE
Salem, OR 97301-7471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | C 3826 (OR) |
Professional Counselor: Definition to come...
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About NPI 1205074176
Mat F. Nyquist, MS LPC's National Provider Identifier is 1205074176, issued on Jan 29, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salem, OR. The record was last updated on Aug 25, 2015.