Individual provider · Type 1 NPI

Techina Chanta Jackson, CDCA 161767

Counselor · Xenia, OH

NPI number 1609348770 Active

Practice location

515 Martin Dr
Xenia, OH 45385-1615

Call (937) 562-2400 Map

Fax (937) 562-2450

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X161767 (OH)

Counselor: 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.

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About NPI 1609348770

Techina Chanta Jackson, CDCA 161767's National Provider Identifier is 1609348770, issued on Dec 29, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Xenia, OH. The record was last updated on Dec 29, 2018.