Individual
SHANNON ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
Mailing address
1384 LOCUST AVE, FAIRMONT, WV 26554-1481
(304) 692-3559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2520
WV
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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