IAN SHELTON

SPRINGFIELD, MO
NPI1417400623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-25
Last Update Date2016-07-25
Business Address
-- IAN SHELTON
404 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4802
Phone number: 417-865-8045
Mailing Address
-- IAN SHELTON
404 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4802
Phone number: