Individual
JACK TYLER ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAC
Contact information
Practice address
3230 MARKET PLACE AVE STE 4, BRYANT, AR 72022-8074
(501) 781-2230
Mailing address
3230 MARKET PLACE AVE STE 4, BRYANT, AR 72022-8074
(501) 781-2230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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