Individual provider · Type 1 NPI

Tonjanika Jackson, PhD

Professional Counselor · Augusta, GA

NPI number 1821495961 Active

Practice location

3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550

Call (706) 364-0252 Map

Fax (706) 364-0269

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCPD0044 (GA)
Professional Counselor Primary 101YP2500XLPC006878 (GA)

Professional Counselor: Definition to come...

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About NPI 1821495961

Tonjanika Jackson, PhD's National Provider Identifier is 1821495961, issued on Dec 3, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Nov 30, 2020.