Individual
GENE M NISJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7362 UNIVERSITY AVE NE, SUITE 209, FRIDLEY, MN 55432-3142
(612) 825-4407
Mailing address
7982 HALIFAX AVE N, BROOKLYN PARK, MN 55443-2644
(612) 325-7382
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 1632
MN
Other
Enumeration date
02/20/2007
Last updated
06/09/2010
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