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Techina Chanta Jackson, CDCA161767
Counselor in Xenia, Ohio
NPI 1609348770

Techina Chanta Jackson is a Counselor based in Xenia, OH. Techina Chanta Jackson practices in Xenia, OH and has the professional credentials of CDCA161767. The NPI Number for Techina Chanta Jackson is 1609348770 and holds a License No. 161767 (Ohio).

The current practice location address for Techina Chanta Jackson is 515 Martin Dr, Xenia, OH and can be reached out via phone at 937-562-2400 and via fax at 937-562-2450.

Location: 515 Martin Dr, Xenia, OH, 45385-1615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609348770
Provider Name
Techina Chanta Jackson
Credential
CDCA161767
Provider Entity Type
Individual
Gender
Female
Address
515 Martin Dr, Xenia, OH, 45385-1615
Phone Number
937-562-2400
Fax Number
937-562-2450
Provider Enumeration Date
12/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 Martin Dr
City
Xenia
State
Ohio
Zip
45385-1615
Phone Number
937-562-2400
Fax Number
937-562-2450
person
Provider Business Mailing Address Details
Address
515 Martin Dr
City
Xenia
State
Ohio
Zip
45385-1615
Phone Number
937-562-2400
Fax Number
937-562-2450
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
161767 (Ohio)
Definition
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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