| Terence Graydon Shelly, | |
|
1325 Wyoming St, Missoula, MT 59801-1725 | |
| (406) 560-1474 | |
| Not Available |
| Full Name | Terence Graydon Shelly |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1325 Wyoming St, Missoula, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568387140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-SWLC-LIC-80927 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terence Graydon Shelly, 412 S 3rd St W Apt 2, Missoula, MT 59801-2527 Ph: (505) 239-5373 | Terence Graydon Shelly, 1325 Wyoming St, Missoula, MT 59801-1725 Ph: (406) 560-1474 |
Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460 |
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732 |
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269 |
Mckenna Leigh Mill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725 |
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584 |
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 |
Trebor Joseph Curtis Riddle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Kensington Ave Ste 201, Missoula, MT 59801 Phone: 406-461-8110 |