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

Shane Modesitt

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104660620

Shane Modesitt is an Addiction (Substance Use Disorder) Counselor in Parkersburg, West Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

425 Juliana St # NA
Parkersburg, WV 26101-5352
Phone: (304) 893-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104660620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Other providers in Parkersburg