Individual provider · Type 1 NPI

Bailey Ralston, LAC

Professional Counselor · Fayetteville, AR

NPI number 1215775580 Active

Practice location

130 N College Ave Ste G
Fayetteville, AR 72701-5343

Call (479) 785-4083 Map

Fax (479) 434-6248

Mailing address

620 S 21st St
Fort Smith, AR 72901-3915

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1215775580

Bailey Ralston, LAC's National Provider Identifier is 1215775580, issued on Jul 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 19, 2024.