Toniandrea Barratt Jackson, MS, LPC
Counselor, Professional in Dayton, OH. Individual provider (NPI-1).
NPI number1225757578
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1225757578
- Entity type
- Individual (NPI-1)
- Name
- Toniandrea Barratt Jackson
- Credential
- MS, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2022
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC015964 | GA | Yes |
Practice location
601 S Edwin C Moses BlvdDayton, OH 45417-3424
Phone 100-000-0000
Mailing address
601 S Edwin C Moses BlvdDayton, OH 45417-3424
Phone 100-000-0000
Other practice locations
5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815
Atlanta, GA 30342-4815
Phone 415-424-4266
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