Jackson, Tammy J

Jackson, Tammy J is an individual health care provider with primary practice located at 1272 Ne Windsor Dr , Lees Summit MO 64086-5594. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jackson, Tammy J can be contacted via phone (816) 246-4465.

Contact Information

Primary practice address
1272 Ne Windsor Dr Lees Summit MO 64086-5594
Phone: (816) 246-4465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 01757 Missouri
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 01757 Missouri
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01757 Missouri

Profile Details

NPI number 1235294018
LBN Legal business name Jackson, Tammy J
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Oct 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers