Individual
MR. RONALD CHARLES FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
305 FOCH STREET, GORDON, NE 69343
(308) 282-1101
(308) 282-1372
Mailing address
357 CEDAR, CHADRON, NE 69337
(402) 984-1839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155804640
—
NE
05
—
47073437686
—
NE
Enumeration date
04/02/2012
Last updated
04/10/2012
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