Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Techina Chanta Jackson, CDCA161767

Individual provider Counselor · NPI 1609348770

Techina Chanta Jackson, CDCA161767 is a Counselor in Xenia, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
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Practice location Address checks out

515 Martin Dr
Xenia, OH 45385-1615
Phone: (937) 562-2400
Fax: (937) 562-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 161767 (OH)

Record details

NPI number1609348770
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA161767
Sole proprietorYes
NPI enumeratedDecember 29, 2018
Last updated in NPPESDecember 29, 2018

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