Doctor Name: | FRANCIS M SHELTON |
NPI Number: | 1104044726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD,PSRS,CM |
License Number: | 10196 |
Business Practice Address: | 57523 Moccasin Trl Prague, OK - 748641046 |
Business Phone Number: | 4055673202 |
Business Fax Number: | 4055670054 |
Mailing Address: | 125 South Pecan, BOLEY |
State: | OK |
Postal Code: | 74829 |
Phone Number: | 9186673477 |
Fax Number: | 9186673622 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 10196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |