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Mrs. Shelly Nicole Johnson, MACASLPCNCC
Counselor in Fairmont, West Virginia
NPI 1386702736

Shelly Nicole Johnson is a Counselor based in Rivesville, WV. Shelly Nicole Johnson practices in Fairmont, WV and has the professional credentials of MACASLPCNCC. The NPI Number for Shelly Nicole Johnson is 1386702736 and holds a License No. 1739 (West Virginia).

The current practice location address for Shelly Nicole Johnson is 70 Maranatha Drive, Fairmont, WV and can be reached out via phone at 304-612-9499 and via fax at 304-278-7250. You can also correspond with Shelly Nicole Johnson through the mailing address at 72 CHESTNUT STREET, RIVESVILLE, WV - 26588 (mailing address contact number: 304-278-7250).

Location: 70 Maranatha Drive, Fairmont, WV, 26588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386702736
Provider Name
Shelly Nicole Johnson
Credential
MACASLPCNCC
Provider Entity Type
Individual
Gender
Female
Address
70 Maranatha Drive, Fairmont, WV, 26588
Phone Number
304-612-9499
Fax Number
304-278-7250
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
70 Maranatha Drive
City
Fairmont
State
West Virginia
Zip
26554
Phone Number
304-612-9499
Fax Number
304-278-7250
person
Provider Business Mailing Address Details
Address
70 Maranatha Drive
City
Fairmont
State
West Virginia
Zip
26554
Phone Number
304-612-9499
Fax Number
304-278-7250
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1739 (West Virginia)
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's degree and clinical experience and supervision for licensure or certification.
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