Individual
LESLIE RAE SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
Mailing address
PO BOX 681, ANSTED, WV 25812-0681
(304) 658-4062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
07/13/2022
Last updated
04/01/2026
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