Individual
RALEIGH JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 582-5565
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 906-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2107013
AR
101YP2500X
Professional Counselor
Primary
P2509018
AR
Other
Enumeration date
04/07/2022
Last updated
09/16/2025
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