Individual
BAILEY RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
130 N COLLEGE AVE STE G, FAYETTEVILLE, AR 72701-5343
(479) 785-4083
(479) 434-6248
Mailing address
620 S 21ST ST, FORT SMITH, AR 72901-3915
(479) 785-4083
(479) 434-6248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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