Provider Demographics
NPI:1487362026
Name:SICKLER, ALISHA MAY (MS, LPC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:MAY
Last Name:SICKLER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2771 WOODBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2443
Mailing Address - Country:US
Mailing Address - Phone:651-262-3690
Mailing Address - Fax:
Practice Address - Street 1:2771 WOODBRIDGE ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2443
Practice Address - Country:US
Practice Address - Phone:651-262-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor