Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tammy J Jackson, LICENSEDPSYCHOLOGIS

Individual provider Counseling Psychologist · NPI 1235294018

Tammy J Jackson, LICENSEDPSYCHOLOGIS is a Counseling Psychologist in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone: (816) 246-4465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 01757 (MO)
Counseling Psychologist Taxonomy 103TC1900X · Licence 01757 (MO)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 01757 (MO)

Record details

NPI number1235294018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDPSYCHOLOGIS
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESOctober 11, 2019

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