Individual
SHADIA NOVA SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
162 COUNTY SERVICES RD, SUITE 1, ASHLAND CITY, TN 37015
(615) 517-9417
Mailing address
7204 S COLONY DR, NASHVILLE, TN 37221-3931
(615) 957-6936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
02/14/2007
Last updated
11/21/2008
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