Individual
ANNE LINDSEY NICKLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
29 PIONEER ST, COOPERSTOWN, NY 13326-1050
(607) 282-6978
(607) 891-3561
Mailing address
2417 STATE HIGHWAY 166, COOPERSTOWN, NY 13326-4606
(607) 282-6978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PO9691
NY
101YP2500X
Professional Counselor
Primary
009794-01
NY
Other
Enumeration date
03/06/2018
Last updated
05/11/2023
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