Techina Chanta Jackson CDCA 161767

NPI # 

Practice Address:

515 Martin Dr

Xenia, OH, 45385-1615

Practice Phone:

937-562-2400

Practice Fax:

937-562-2450

License Number:

161767

License State:

OH

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Code:

101Y00000X

Updated by NPPES on 12/29/2018. You can view the original data set for NPI # 1609348770 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Techina Chanta Jackson , CDCA 161767 's

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Techina Chanta Jackson , CDCA 161767 's

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