Individual
SHANNON HUGHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CBIS
Contact information
Practice address
1289 ROBERT C BYRD DR, SUITE 4, CRAB ORCHARD, WV 25827
(304) 253-8979
Mailing address
110 GAINES AVE, BECKLEY, WV 25801-8687
(304) 222-1132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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