| Alicia Kelso, | |
|
9603 N County Road 1300, Shallowater, TX 79363-2165 | |
| (806) 620-0704 | |
| Not Available |
| Full Name | Alicia Kelso |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 9603 N County Road 1300, Shallowater, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104730613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 72522 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 72522 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Kelso, 9603 N County Road 1300, Shallowater, TX 79363-2165 Ph: (806) 620-0704 | Alicia Kelso, 9603 N County Road 1300, Shallowater, TX 79363-2165 Ph: (806) 620-0704 |
Mr. Volnei Rui Cardoso Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 7th St, Shallowater, TX 79363 Phone: 806-777-7230 |
Kristy Jane Harrist, LPC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 9th St, Shallowater, TX 79363 Phone: 806-535-0097 |
Gwen Self Warren, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 9th St, Shallowater, TX 79363 Phone: 806-787-3686 Fax: 806-832-1336 |