| Doctor Name: | SHARAY A NICKLES |
| NPI Number: | 1598840639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 20129 |
| Business Practice Address: | 3201 Teasley Ln Ste 202 Denton, TX - 762108302 |
| Business Phone Number: | 9404844311 |
| Business Fax Number: | 9404845075 |
| Mailing Address: | Po Box 99213, FORT WORTH |
| State: | TX |
| Postal Code: | 761990213 |
| Phone Number: | 6828854871 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 20129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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 |