| Thaddeus Alton Shelton Jr, LMFT 03720 | |
|
1601 W 4th St, Coffeyville, KS 67337-3333 | |
| (620) 251-8180 | |
| (620) 251-7400 |
| Full Name | Thaddeus Alton Shelton Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1601 W 4th St, Coffeyville, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225923758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 03720 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus Alton Shelton Jr, LMFT 03720 Po Box 688, Independence, KS 67301-0688 Ph: (620) 331-1748 | Thaddeus Alton Shelton Jr, LMFT 03720 1601 W 4th St, Coffeyville, KS 67337-3333 Ph: (620) 251-8180 |
Becky Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 West 8th Street, Coffeyville, KS 67337 Phone: 620-505-4011 | |
Donna Botinelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 W 4th St, Coffeyville, KS 67337 Phone: 620-251-8180 Fax: 620-251-8180 | |
Elizabeth Seabrook Turnage Parker, ED.S., M.ED., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Coffeyville, KS 67337 Phone: 620-330-9036 | |
Mark Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 W 4th St, Coffeyville, KS 67337 Phone: 620-251-8180 |