Individual
RICK MARVIN RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAC, NCC
Contact information
Practice address
4001 BROOKEN HILL DR, FORT SMITH, AR 72908-9288
(479) 883-0610
Mailing address
10521 HARROW HEATH ST, FORT SMITH, AR 72908-9368
(479) 883-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2406008
AR
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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