Individual
MR. DAVID J. RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCCC, ATC
Contact information
Practice address
319 W 10TH ST, SUITE 102, OWENSBORO, KY 42301-2900
(270) 316-6960
Mailing address
319 W 10TH ST, SUITE 102, OWENSBORO, KY 42301-2900
(270) 316-6960
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
15038
KY
2255A2300X
Athletic Trainer
0074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00074
NATIONAL ATHLETIC TRAINERS ASSOCIATION
KY
01
—
15038
NATIONAL CHRISTIAN COUNSELORS ASSOCIATION
—
Enumeration date
07/03/2006
Last updated
02/12/2016
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