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

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
Mailing address515 Martin Dr, Xenia, OH 45385-1615

Other providers in Xenia