| NPI | 1003084260 |
|---|---|
| Other Name | SHELLY TERRY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |