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Individual

SHELLY VILLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LIC PSYCHOLOGIST

Contact information

Practice address
601 AVERY ST STE 400, PARKERSBURG, WV 26101-5111
(304) 428-6012
(304) 428-6031
Mailing address
85 MEHLDAL ROAD, WASHINGTON, WV 26181
(304) 861-0188

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
829
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9205066000
WV
Enumeration date
01/03/2007
Last updated
07/08/2007
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