Individual
MR. JUSTIN QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 567-1864
(636) 324-8551
Mailing address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 747-5222
(636) 324-8551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2009111
AR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P2303003
AR
Other
Enumeration date
09/15/2020
Last updated
10/15/2025
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