Organization
JACKSONS COUNSELING SERVICES LLC
Active
Other names
Tonjanika Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
TONJANIKA JACKSON LPC (OWNER)
(706) 362-0252
Entity
Organization
Contact information
Practice address
3633 WHEELER RD STE 100, AUGUSTA, GA 30909-6550
(706) 364-0252
(706) 364-0269
Mailing address
3633 WHEELER RD STE 100, AUGUSTA, GA 30909-6550
(706) 364-0252
(706) 364-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821495961
NPI
GA
Enumeration date
06/21/2017
Last updated
09/14/2022
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