IndividualActive
Techina Jackson, CDCA 161767
NPI 1609348770 · Counselor · Xenia, OH
Techina Jackson, CDCA 161767 is a Counselor provider in Xenia, OH (NPI 1609348770).
Provider details
- NPI number
- 1609348770
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA 161767
- Sex
- Female
- Sole proprietor
- Yes
- License
- 161767 (OH)
Practice location
515 Martin Dr
Xenia, OH 45385-1615
Phone: (937) 562-2400
Fax: (937) 562-2450
Street-level locationGet directions
Mailing address
515 Martin Dr
Xenia, OH 45385-1615
Registry dates
- Enumerated
- 2018-12-29
- Last updated
- 2018-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.