Individual provider · Type 1 NPI

Thaddeus Alton Shelton Jr., LMFT 03720

Mental Health Counselor · Coffeyville, KS

NPI number 1225923758 Active

Practice location

1601 W 4th St
Coffeyville, KS 67337-3333

Call (620) 251-8180 Map

Fax (620) 251-7400

Mailing address

PO Box 688
Independence, KS 67301-0688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X03720 (KS)

Mental Health Counselor: Definition to come...

16 other providers at this address

About NPI 1225923758

Thaddeus Alton Shelton Jr., LMFT 03720's National Provider Identifier is 1225923758, issued on Jun 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coffeyville, KS. The record was last updated on Jun 12, 2025.