Individual
NICOLE A SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1812 BALTIMORE BLVD STE A, WESTMINSTER, MD 21157-7144
(410) 871-7645
Mailing address
2938 HAMPSTEAD MEXICO RD, HAMPSTEAD, MD 21074-1513
(443) 974-5495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP17494
MD
101YM0800X
Mental Health Counselor
Primary
SHIF-109Q32
MD
Other
Enumeration date
11/07/2024
Last updated
02/02/2026
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