Individual
JEFFREY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 N INDEPENDENCE ST STE 408, ENID, OK 73701-4097
(580) 634-3317
(580) 565-1019
Mailing address
2701 W UNIVERSITY BLVD, DURANT, OK 74701-2997
(580) 740-4053
(877) 725-8976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/13/2022
Last updated
11/07/2025
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