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Mallory Ford
Counselor in Russellville, Arkansas
NPI 1699295311

Mallory Ford is a Counselor based in Bentonville, AR. Mallory Ford practices in Russellville, AR. The NPI Number for Mallory Ford is 1699295311 and holds a License No. (Arkansas).

The current practice location address for Mallory Ford is 1610 S Arkansas Ave, Russellville, AR and can be reached out via phone at 479-967-4673 and via fax at 479-967-7140. You can also correspond with Mallory Ford through the mailing address at 602 N WALTON BLVD, BENTONVILLE, AR - 72712-4576 (mailing address contact number: 479-464-1060).

Location: 1610 S Arkansas Ave, Russellville, AR, 72712-4576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699295311
Provider Name
Mallory Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1610 S Arkansas Ave, Russellville, AR, 72712-4576
Phone Number
479-967-4673
Fax Number
479-967-7140
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1610 S Arkansas Ave
City
Russellville
State
Arkansas
Zip
72801-7125
Phone Number
479-967-4673
Fax Number
479-967-7140
person
Provider Business Mailing Address Details
Address
1610 S Arkansas Ave
City
Russellville
State
Arkansas
Zip
72801-7125
Phone Number
479-967-4673
Fax Number
479-967-7140
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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