Jonathan Edward Shelton

NPI #1720562259 in Ada, Oklahoma

Provider Information

NPI Number: 1720562259
Entity Type: Individual
Name: Jonathan Edward Shelton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 20, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 230 E 12TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6508
Phone: (580) 332-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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