Individual provider · Type 1 NPI

Justin Qualls, LPC

Professional Counselor · Russellville, AR

NPI number 1780299859 Active

Practice location

104 Lock And Dam Rd
Russellville, AR 72802-9725

Call (479) 567-1864 Map

Fax (636) 324-8551

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP2303003 (AR)
Mental Health Counselor 101YM0800XA2009111 (AR)
Mental Health Counselor 101YM0800XNone listed

Professional Counselor: Definition to come...

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About NPI 1780299859

Justin Qualls, LPC's National Provider Identifier is 1780299859, issued on Sep 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Russellville, AR. The record was last updated on Oct 15, 2025.