Alyssa Mary Nyberg, MPS, LPCC, LADC
Counselor, Professional in Minneapolis, MN. Individual provider (NPI-1).
NPI number1689201352
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1689201352
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Mary Nyberg
- Credential
- MPS, LPCC, LADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | cc01716 | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 303833 | MN |
Practice location
2960 Winnetka Ave N Ste 1010Minneapolis, MN 55427-2853
Phone 763-541-4993 · Fax 763-541-5324
Mailing address
2960 Winnetka Ave N Ste 1010Minneapolis, MN 55427-2853
Phone 763-541-4993 · Fax 763-541-5324
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