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Individual

ALYSSA MARY NYBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPS, LPCC, LADC

Contact information

Practice address
2960 WINNETKA AVE N STE 1010, MINNEAPOLIS, MN 55427-2853
(763) 541-4993
(763) 541-5324
Mailing address
2960 WINNETKA AVE N STE 1010, MINNEAPOLIS, MN 55427-2853
(763) 541-4993
(763) 541-5324

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303833
MN
101YP2500X
Professional Counselor
Primary
CC01716
MN

Other

Enumeration date
03/24/2020
Last updated
03/24/2020
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