Individual
KRISTI NISSEN
Active
Individual
KRISTI NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002571
CO
101YP2500X
Professional Counselor
Primary
LPC.0017917
CO
Other
Enumeration date
10/07/2019
Last updated
03/26/2025
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