SHELLY NICOLE JOHNSON

FAIRMONT, WV
NPI1386702736
Former NameSHELLY NICOLE VANCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WV  1739)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Mrs. SHELLY NICOLE JOHNSON MA CAS LPC NCC
70 MARANATHA DRIVE
FAIRMONT, WV 26554
Phone number: 304-612-9499
Mailing Address
Mrs. SHELLY NICOLE JOHNSON MA CAS LPC NCC
72 CHESTNUT STREET
RIVESVILLE, WV 26588
Phone number: 304-278-7250