Jackson, Techina Chanta
Jackson, Techina Chanta is an sole proprietor health care provider with primary practice located at 515 Martin Dr , Xenia OH 45385-1615. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Techina Chanta can be contacted via phone (937) 562-2400.Contact Information
Primary practice address
515 Martin Dr
Xenia OH 45385-1615
Phone: (937) 562-2400
Fax: (937) 562-2450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 161767 | Ohio |
Profile Details
| NPI number | 1609348770 |
|---|---|
| LBN Legal business name | Jackson, Techina Chanta |
| Credentials | CDCA 161767 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2018 |
| Last updated | Dec 29th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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