Tommy Fred Malone, LPC Valid NPI

Individual provider · Counselor · Jacksonville, AR

NPI

1548396229

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

P9508022 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-26

Last updated

2007-07-08