| Mallyssa Rose Nissen, | |
|
6800 78th Ave N, Brooklyn Park, MN 55445-2758 | |
| (612) 314-0349 | |
| Not Available |
| Full Name | Mallyssa Rose Nissen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6800 78th Ave N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336949262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 307186 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallyssa Rose Nissen, 6740 Plaza Curv Ne, Fridley, MN 55432-4323 Ph: (612) 709-2502 | Mallyssa Rose Nissen, 6800 78th Ave N, Brooklyn Park, MN 55445-2758 Ph: (612) 314-0349 |
Katherine Marie Jensen, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 8590 Edinburgh Center Dr, Brooklyn Park, MN 55443 Phone: 763-425-5959 | |
Ravaughn Perry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7508 Edgewood Ave N, Brooklyn Park, MN 55428 Phone: 763-464-7416 | |
Amber Mckay, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445 Phone: 763-432-6875 Fax: 763-432-6894 | |
Carly Ziegeweid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 78th Ave N, Brooklyn Park, MN 55445 Phone: 612-924-3807 | |
Mr. Martrell Cornell Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 78th Ave N, Brooklyn Park, MN 55445 Phone: 612-924-3807 | |
Abdullahi Abdulrashid Salad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 82nd Cir N, Brooklyn Park, MN 55444 Phone: 612-346-8549 | |
Sean Brandon Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9201 75th Ave N, Brooklyn Park, MN 55428 Phone: 763-315-7173 Fax: 763-951-3097 |