Individual provider · Type 1 NPI

Camilla Hannah Nystrom

Mental Health Counselor · San Luis Obispo, CA

NPI number 1922439892 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Counselor 225C00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1922439892

Camilla Hannah Nystrom's National Provider Identifier is 1922439892, issued on Dec 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 20, 2021.