Individual
MR. MARK TOMMY THOMAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
5918 LEE AVE, LITTLE ROCK, AR 72205-3049
(501) 663-2199
(501) 663-2234
Mailing address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 663-2199
(501) 663-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Enumeration date
12/04/2009
Last updated
06/04/2010
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