Shelly Nicole Johnson in Fairmont - Counselor
Shelly Nicole Johnson - NPI 1386702736
Shelly Nicole Johnson is a Counselor in Fairmont, . Shelly Nicole Johnson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shelly Nicole Johnson is 1386702736. The last update date is 2007-07-08.
Shelly Nicole Johnson's current location address is 70 Maranatha Drive, Fairmont, . You can contact this provider via phone number 3046129499 and fax number 3042787250. The mailing address for Shelly Nicole Johnson is 70 Maranatha Drive, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Nicole Johnson |
|---|---|
| Address | 70 Maranatha Drive, Fairmont, |
| Phone Number | 3046129499 |
| Fax Number | 3042787250 |
| Sole Proprietor | N |
| Credentials | MA CAS LPC |
NPI Number Detail
| NPI Number | 1386702736 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 70 Maranatha Drive |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 26554 |
| Phone Number | 3046129499 |
| Fax Number | 3042787250 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1739 |
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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 supe |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shelly Nicole Johnson by the Centers for Medicare & Medicaid Services?
The Shelly Nicole Johnson has been issued the NPI (National Provider Identifier) 1386702736, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shelly Nicole Johnson is located?
The Shelly Nicole Johnson is situated at the following address: 70 Maranatha Drive, Fairmont, WV, 26554.
What is the Shelly Nicole Johnson's area of specialization and corresponding taxonomy classification?
The Shelly Nicole Johnson's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1386702736 assigned to Shelly Nicole Johnson?
The Shelly Nicole Johnson was issued its 1386702736 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shelly Nicole Johnson most recently updated or revised?
The details related to Shelly Nicole Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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