KELLIE E NISSEN

OAKLAND, CA
NPI1669023750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  35141)
Enumeration Date2019-09-20
Last Update Date2024-08-28
Business Address
KELLIE E NISSEN PSYD
451 51ST ST
OAKLAND, CA 94609-2143
Phone number: 860-878-0350
Mailing Address
KELLIE E NISSEN PSYD
451 51ST ST
OAKLAND, CA 94609-2143
Phone number: 860-878-0350
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