IndividualActive
Chanda Jackson
NPI 1619844842 · Mental Health Counselor · Cincinnati, OH
Provider details
- NPI number
- 1619844842
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058
Phone: (513) 347-0375
Approximate (ZIP-level) locationGet directions
Mailing address
3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.