Search › Arkansas › 101Y00000X
Tommy Jackson, LAC
NPI 1164102075 · on the registry since 2023
Practice
- Address
- 6601 W 12th St
Little Rock, AR 72204 - Phone
- (501) 666-8686
- Fax
- (501) 660-6829
- Organisation at this address
- Centers For Youth And Families
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 363
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas