Individual
MRS. LISA G. SICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT LMHC
Contact information
Practice address
267 TAMPA AVE, ALBANY, NY 12208-1224
(518) 380-6786
(518) 252-4253
Mailing address
PO BOX 721, SLINGERLANDS, NY 12159-0721
(518) 380-6786
(518) 252-4253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004963
NY
106H00000X
Marriage & Family Therapist
Primary
000886
NY
106H00000X
Marriage & Family Therapist
0717001952
VA
Other
Enumeration date
07/19/2011
Last updated
05/19/2023
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