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Contact Us – Client Care

Update My Insurance

Request An Appointment

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Make a ReferralDerek Judkins2019-05-23T15:35:52-06:00

Make A Referral

Referent Name*
First Last
Referent Organization
Referent Phone
Referent Email

Referent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Patient Name*
First Last
Patient Phone
Patient Date of Birth (00/00/0000)
Date Format: MM slash DD slash YYYY

Preferred Location(s)*
Apple Valley Clinic
Brainerd/Baxter Clinic
Big Lake Clinic
Bloomington Clinic
Cambridge Clinic
Coon Rapids Clinic
Duluth Clinic
Eden Prairie Clinic
Maple Grove Clinic
Minnetonka Clinic
New Brighton Clinic
Otsego Clinic
Rochester Clinic
Sartell/St. Cloud Clinic
Woodbury Clinic
Mankato Clinic
Insurance Type
Services (Check all that apply)*
Psychiatry/Med Management
Counseling for Individuals, Couples, and Families
Chemical Dependency
Psychological Testing/Evaluations
In-Home Therapy for Adults (ARMHS)
In-Home Therapy for Children (CTSS)
Intensive Community Transition Services (ICTS)
School-Based Mental Health
Dialectical Behavior Therapy (DBT)
Adult Day Treatment (ADT)
Nutritional Counseling
Mother Baby Intensive Outpatient Program
Behavioral Health Home (BHH)
Reason For Service

You are less than 10 minutes away from one of our locations if you live in Anoka, Andover, Apple Valley, Blaine, Bloomington, Brooklyn Park, Brooklyn Center, Burnsville, Carver, Champlin, Chanhassen, Chaska, Cologne, Columbia Heights, Coon Rapids, Crystal, Deephaven, Eagan, Eden Prairie, Edina, Elk River, Excelsior, Golden Valley, Greenwood, Ham Lake, Hopkins, Isanti, Jordan, Maple Grove, Maple Plain, Medina, Mendota Heights, Minneapolis, Minnetonka, Minnetrista, Mound, New Hope, Orono, Osseo, Otsego, Plymouth, Prior Lake, Richfield, Rogers, Savage, Shakopee, Shorewood, Spring Lake Park, St. Bonifacius, St. Francis, St. Louis Park, Tonka Bay, Victoria, Waconia, Wayzata or Zimmerman.

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FAQs

CALL US
651.628.9566

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Address: 1900 Silver Lake Road
Suite 110 Minneapolis, MN 55112

Email: contactus@nystromcounseling.com

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