Individual
SHANNON NICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8001 HIGHPOINT RD, BALTIMORE, MD 21234-5411
(410) 926-9606
Mailing address
8001 HIGHPOINT RD, BALTIMORE, MD 21234-5411
(410) 926-9606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12917
MD
Other
Enumeration date
10/20/2022
Last updated
12/06/2023
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