Individual provider · Type 1 NPI

Shannon Raye Nichols

Counselor · Buffalo, NY

NPI number 1114493046 Active

Practice location

1408 Sweet Home Rd
Buffalo, NY 14228-2783

Call (716) 247-5281 Map

Fax (716) 204-0670

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114493046

Shannon Raye Nichols's National Provider Identifier is 1114493046, issued on Oct 18, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buffalo, NY. The record was last updated on Oct 18, 2018.