Mallyssa Rose Nissen
Mallyssa Rose Nissen is an Addiction (Substance Use Disorder) Counselor in Brooklyn Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.
- Licensed in
- MN
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
6800 78th Ave NBrooklyn Park, MN 55445-2758
Phone: (612) 314-0349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 307186 (MN) |
Record details
| NPI number | 1336949262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2025 |
| Last updated in NPPES | April 18, 2025 |
| Certification date | April 18, 2025 |
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