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Individual
SHARAY A NICKLES
Active
Individual
SHARAY A NICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093730
—
WA
Enumeration date
10/26/2006
Last updated
04/13/2017
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