Individual
SHANNON M STICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1661 N SWAN RD STE 200-3, TUCSON, AZ 85712-4042
(520) 326-5761
Mailing address
1661 N SWAN RD STE 200-3, TUCSON, AZ 85712-4042
(520) 326-5761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
4233
AZ
Other
Enumeration date
09/25/2009
Last updated
02/14/2023
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