Individual
KELLI MAYALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4613 PARKWAY DR STE 7, TEXARKANA, AR 71854-1191
(870) 330-4095
(844) 706-5741
Mailing address
2726 HIGHWAY 19 N, PRESCOTT, AR 71857-7510
(870) 703-9508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1711325
AR
Other
Enumeration date
06/08/2018
Last updated
05/10/2024
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