Individual
JANAYA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
444 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-3427
(614) 938-0013
(614) 938-0594
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1800980
OH
101YP2500X
Professional Counselor
Primary
E.2102214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
01/30/2018
Last updated
08/23/2022
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