Individual
THADDEUS ALTON SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT 03720
Contact information
Practice address
1601 W 4TH ST, COFFEYVILLE, KS 67337-3333
(620) 251-8180
(620) 251-7400
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03720
KS
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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