Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shelly Nicole Johnson, MACASLPCNCC

Individual provider Counselor · NPI 1386702736

Mrs. Shelly Nicole Johnson, MACASLPCNCC is a Counselor in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
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Practice location Address checks out

70 Maranatha Dr
Fairmont, WV 26554
Phone: (304) 612-9499
Fax: (304) 278-7250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1739 (WV)

Record details

NPI number1386702736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACASLPCNCC
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007

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