Individual provider · Type 1 NPI

Shelly Nicole Johnson, MA CAS LPC NCC

Counselor · Fairmont, WV

NPI number 1386702736 Active

Practice location

70 Maranatha Drive
Fairmont, WV 26554

Call (304) 612-9499 Map

Fax (304) 278-7250

Mailing address

72 Chestnut Street
Rivesville, WV 26588

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1739 (WV)

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 1386702736

Shelly Nicole Johnson, MA CAS LPC NCC's National Provider Identifier is 1386702736, issued on Dec 5, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairmont, WV. The record was last updated on Jul 8, 2007.