MRS. SHELLY NICOLE JOHNSON MA CAS LPC NCC NPI 1386702736

NPI Information

MRS. Shelly Nicole Johnson, MA CAS LPC NCC is a counselor in Fairmont, WV. The provider is 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. MRS. Shelly Nicole Johnson, MA CAS LPC NCC NPI is 1386702736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

70 MARANATHA DRIVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 612-9499
Fax: (304) 278-7250

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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