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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5130 (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.