Individual
SHARON LYNN NISTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
236 CRYSTAL RUN RD STE 1, MIDDLETOWN, NY 10941-4061
(845) 418-6480
Mailing address
360 STATE ROUTE 17M STE 4, MONROE, NY 10950-3444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
012880
NY
Other
Enumeration date
10/19/2022
Last updated
10/17/2024
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