Organization
JACKSONS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJANIKA JACKSON (OWNER)
(334) 357-0549
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
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
03/09/2017
Last updated
08/25/2021
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