Doctor Name: | MR. RONALD CHARLES FELTON |
NPI Number: | 1558627729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 201 |
Business Practice Address: | 305 Foch Street Gordon, NE - 69343 |
Business Phone Number: | 3082821101 |
Business Fax Number: | 3082821372 |
Mailing Address: | 357 Cedar, CHADRON |
State: | NE |
Postal Code: | 69337 |
Phone Number: | 4029841839 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |