Individual
DEBORAH S RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11020 STATE ROUTE 250, LAWRENCEVILLE, IL 62439-3379
(618) 943-3754
(618) 943-3657
Mailing address
PO BOX 516, LAWRENCEVILLE, IL 62439-0516
(618) 943-3754
(618) 943-3657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376006178008
—
IL
Enumeration date
10/30/2012
Last updated
10/30/2012
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