Individual
MRS. SHERRY ANN NIGHTINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED BEHAVIOR SP
Contact information
Practice address
490 JEFFERS STREET, DUBOIS, PA 15801
(814) 371-1100
Mailing address
793 OLD ROUTE 119 HWY NORTH, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BH002096
PA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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