Individual provider · Type 1 NPI

Mallyssa Rose Nissen

Mental Health Counselor · Brooklyn Park, MN

NPI number 1336949262 Active

Practice location

6800 78th Ave N
Brooklyn Park, MN 55445-2758

Call (612) 314-0349 Map

Mailing address

6740 Plaza Curv NE
Fridley, MN 55432-4323

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X307186 (MN)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336949262

Mallyssa Rose Nissen's National Provider Identifier is 1336949262, issued on Mar 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn Park, MN. The record was last updated on Apr 18, 2025.