Individual provider · Type 1 NPI

Gayle P. Nissen, LCSW

Mental Health Counselor · Reston, VA

NPI number 1982849782 Active

Practice location

1850 Cameron Glen Dr
Reston, VA 20190-3363

Fax (703) 481-1420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0904005220 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1982849782

Gayle P. Nissen, LCSW's National Provider Identifier is 1982849782, issued on Dec 8, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reston, VA. The record was last updated on Mar 29, 2021.