TECHINA CHANTA JACKSON CDCA 161767 NPI 1609348770

NPI Information

Techina Chanta Jackson, CDCA 161767 is a counselor in Xenia, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Techina Chanta Jackson, CDCA 161767 NPI is 1609348770. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 MARTIN DR
XENIA, OH
ZIP 45385-615
Phone: (937) 562-2400
Fax: (937) 562-2450

The enumeration date for this NPI number is 12/29/2018 and was last updated on 12/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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