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Contact Information

SHELLY N JOHNSON, MA CAS LPC NCC
70 MARANATHA DRIVE
FAIRMONT, WV26554
 Phone: 304-612-9499
 Fax: 304-278-7250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SHELLY N JOHNSON · (Female)

NPI # 1386702736
Status Active
Credentials MA CAS LPC NCC
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 1739
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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