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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACIA MARIE NISSEN, MA, LPC-MH, LAC, NCC

Active

STACIA MARIE NISSEN, MA, LPC-MH, LAC, NCC is a Mental Health Counselor healthcare provider located in SIOUX FALLS, South Dakota. NPI 1295970986 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SIOUX FALLS, SD

Registration Details

NPI Number
1295970986
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2008 (17.66063178146 yrs)
Last Updated
Mar 30, 2018
Licenses
08111384 (SD)
LPC-MH20292 (SD)

Practice Information

Address
711 N LAKE AVE
SIOUX FALLS, SD, 571042203
Browse SD providers · Browse ZIP 57104
Phone
6053390420
Fax
6053390038
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in SIOUX FALLS, SD

Name Credential NPI
MS. LISA JOAN STELLINGA MS 1487654026
MS. CONNIE LEE NELSON MA QMHP LPCMH CCDC 1629061221
CLINT JAMES SPERLE MA 1518953405
CAROLYN F ROTHS LPCMH LMFT 1467448365
MRS. TARA RENAE OLSON-LARSON MA LPC MH 1194711085
MRS. KIMBERLY J COURNOYER-BAUM EDS 1235129446
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.