Provider Demographics
NPI:1104044726
Name:SHELTON, FRANCIS M (EDD,PSRS,CM)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:M
Last Name:SHELTON
Suffix:
Gender:F
Credentials:EDD,PSRS,CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SOUTH PECAN
Mailing Address - Street 2:
Mailing Address - City:BOLEY
Mailing Address - State:OK
Mailing Address - Zip Code:74829
Mailing Address - Country:US
Mailing Address - Phone:918-667-3477
Mailing Address - Fax:918-667-3622
Practice Address - Street 1:57523 MOCCASIN TRL
Practice Address - Street 2:
Practice Address - City:PRAGUE
Practice Address - State:OK
Practice Address - Zip Code:74864-1046
Practice Address - Country:US
Practice Address - Phone:405-567-3202
Practice Address - Fax:405-567-0054
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health