Mallory Ford - Russellville, AR

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.

Location: 1610 S Arkansas Ave, Russellville, AR, 72712-4576

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

Address

1610 S Arkansas Ave

City

Russellville

State

Arkansas

Zip

72801-7125

Phone Number

479-967-4673

Fax Number

479-967-7140

Address

1610 S Arkansas Ave

City

Russellville

State

Arkansas

Zip

72801-7125

Phone Number

479-967-4673

Fax Number

479-967-7140

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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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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