Individual
BRIAN EDWARD NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
105 N MAIN STREET BOX 74, HAZELTON, IA 50641-7701
(319) 636-2100
(319) 636-2022
Mailing address
105 N MAIN STREET BOX 74, HAZELTON, IA 50641-7701
(319) 636-2100
(319) 636-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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