Individual
CRISTA NICOLE NEZHNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3847 TEAYS VALLEY RD STE B, HURRICANE, WV 25526-9820
(304) 760-9945
Mailing address
PO BOX 172, CULLODEN, WV 25510-0172
(304) 760-9945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1107
KY
101YP2500X
Professional Counselor
Primary
2121
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000684220
ANTHEM BCBS
—
05
—
0005355002
—
WV
05
—
30610026
—
KY
Enumeration date
08/27/2010
Last updated
04/03/2020
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