Tommy Fred Malone in Jacksonville - Counselor
Tommy Fred Malone - NPI 1548396229
Tommy Fred Malone is a Counselor in Jacksonville, Arkansas. Tommy Fred Malone practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tommy Fred Malone is 1548396229. The last update date is 2007-07-08.
Tommy Fred Malone's current location address is 5118 Stonewsll Sq, Jacksonville, Arkansas. You can contact this provider via phone number 5019820518 and fax number 5019852220. The mailing address for Tommy Fred Malone is 5118 Stonewsll Sq, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tommy Fred Malone |
|---|---|
| Address | 5118 Stonewsll Sq, Jacksonville, Arkansas |
| Phone Number | 5019820518 |
| Fax Number | 5019852220 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1548396229 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5118 Stonewsll Sq |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 72076 |
| Phone Number | 5019820518 |
| Fax Number | 5019852220 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | P9508022 |
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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 supe |
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What is the Tommy Fred Malone's unique identification number?
The Tommy Fred Malone has been assigned the NPI (National Provider Identifier) Number 1548396229 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Tommy Fred Malone?
The Tommy Fred Malone is physically situated at 5118 Stonewsll Sq, in the city of Jacksonville, state of AR, with the postal code 72076.
What is the Tommy Fred Malone's area of specialization and corresponding taxonomy classification?
The Tommy Fred Malone's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1548396229 assigned to Tommy Fred Malone?
The Tommy Fred Malone was issued its 1548396229 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tommy Fred Malone most recently updated or revised?
The details related to Tommy Fred Malone, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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