TOMMY JACKSON, LAC
Counselor
Active
Individual
NPI: 1164102075
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | A2303008 (AR) |
Frequently Asked Questions
NPI 1164102075 is the National Provider Identifier for TOMMY JACKSON, LAC, a Counselor provider located in Little Rock, AR. This NPI was enumerated on July 25, 2023.
TOMMY JACKSON, LAC practices at 6601 W 12TH ST, Little Rock, AR 72204.
Quick Facts
- NPI
- 1164102075
- Type
- Individual
- Enumerated
- Jul 25, 2023
- Last Updated
- Jul 25, 2023
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