Individual
SHANNON NICOLE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21-23 GRAND ST, NEWBURGH, NY 12550
(845) 562-7244
Mailing address
40 HAIGHT AVE # 831, MILLBROOK, NY 12545-5960
(845) 549-8961
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P128414
NY
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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