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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TOMMY JACKSON, LAC

Active

TOMMY JACKSON, LAC is a Counselor healthcare provider located in LITTLE ROCK, Arkansas. NPI 1164102075 is currently active in the NPPES registry. Verify at CMS.

Counselor · LITTLE ROCK, AR

Registration Details

NPI Number
1164102075
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2023 (3.0524101886904 yrs)
Last Updated
Jul 25, 2023
License
A2303008 (AR)

Practice Information

Address
6601 W 12TH ST
LITTLE ROCK, AR, 722041513
Browse AR providers · Browse ZIP 72204
Phone
5016668686
Fax
5016606829
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in LITTLE ROCK, AR

Name Credential NPI
LORY SAXTON KISTNER LCSW 1669437547
STASIA LYN WIER MYERS LCSW 1790720415
DR. ANN HEDGE CARRUTHERS PHD 1477577864
MRS. LASHON D CHRISTOPHER LPC 1518070960
SUZANNE JAMES LCSW 1710038948
MS. CONSTANCE COLLIER LPC 1619002789
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.