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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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