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Miss Theresa L Qualls
Counselor in Little Rock, Arkansas
NPI 1376731539

Theresa L Qualls is a Counselor based in Little Rock, AR. Theresa L Qualls practices in Little Rock, AR. The NPI Number for Theresa L Qualls is 1376731539 and holds a License No. P1204052 (Arkansas).

The current practice location address for Theresa L Qualls is 4 Shackleford Plz, Little Rock, AR and can be reached out via phone at 501-410-7922.

Location: 4 Shackleford Plz, Little Rock, AR, 72205-3924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376731539
Provider Name
Theresa L Qualls
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Shackleford Plz, Little Rock, AR, 72205-3924
Phone Number
501-410-7922
Fax Number
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200023740 05 AR
institution
Provider Business Practice Location Address Details
Address
4 Shackleford Plz
City
Little Rock
State
Arkansas
Zip
72211-1826
Phone Number
501-410-7922
Fax Number
person
Provider Business Mailing Address Details
Address
4 Shackleford Plz
City
Little Rock
State
Arkansas
Zip
72211-1826
Phone Number
501-410-7922
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
P1204052 (Arkansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P1204052 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
P1204052 (Arkansas)
Definition
Definition to come...
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