Individual provider · Type 1 NPI

Stephanie Wisby Nissen

Professional Counselor · Graham, NC

NPI number 1063638484 Active

Practice location

142 S Main St
Graham, NC 27253-2808

Fax (336) 931-9385

Mailing address

7017 Mcgowan Creek Road
Efland, NC 27243

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5130 (NC)

Professional Counselor: Definition to come...

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About NPI 1063638484

Stephanie Wisby Nissen's National Provider Identifier is 1063638484, issued on Apr 17, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Graham, NC. The record was last updated on Jul 8, 2007.