Provider Demographics
NPI:1205655396
Name:NADOLNY, SYDNEY ANELLE (LCMHC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANELLE
Last Name:NADOLNY
Suffix:
Gender:F
Credentials:LCMHC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 BREEZEWOOD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5281
Mailing Address - Country:US
Mailing Address - Phone:910-491-6011
Mailing Address - Fax:
Practice Address - Street 1:2931 BREEZEWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5281
Practice Address - Country:US
Practice Address - Phone:910-491-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBERR-23CNXH101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional