Individual provider · Type 1 NPI
Alyssa Mary Nyberg, MPS, LPCC, LADC
Professional Counselor · Minneapolis, MN
NPI number
1689201352
Active
Practice location
2960 Winnetka Ave N Ste 1010
Minneapolis, MN 55427-2853
Fax (763) 541-5324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303833 (MN) |
| Professional Counselor Primary | 101YP2500X | CC01716 (MN) |
Professional Counselor: Definition to come...
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About NPI 1689201352
Alyssa Mary Nyberg, MPS, LPCC, LADC's National Provider Identifier is 1689201352, issued on Mar 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 24, 2020.