Jackson, Tonjanika

Jackson, Tonjanika is an sole proprietor health care provider with primary practice located at 3633 Wheeler Rd Ste 100 , Augusta GA 30909-6550. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Tonjanika can be contacted via phone (706) 364-0252.

Contact Information

Primary practice address
3633 Wheeler Rd Ste 100 Augusta GA 30909-6550
Phone: (706) 364-0252
Fax: (706) 364-0269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CPD0044 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006878 Georgia

Profile Details

NPI number 1821495961
LBN Legal business name Jackson, Tonjanika
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2014
Last updated Nov 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821495961 NPPES
Georgia Other 1518487529 NPI

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