Individual
RACHAL I BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
3202 MCINTOSH CIRCLE DR, STE LL02, JOPLIN, MO 64804-3646
(417) 347-3508
Mailing address
3202 MCINTOSH CIRCLE DR, STE LL02, JOPLIN, MO 64804-3646
(417) 347-3508
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2005001135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043585753
NEAS EAP
MO
Enumeration date
11/06/2006
Last updated
03/18/2010
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