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, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Coffeyville, KS 67337 Phone: 620-330-9036 | |
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 |