Individual
KRISTI NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
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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