person
Valecia Jackson, CSAC
Addiction (Substance Use Disorder) Counselor in Petersburg, Virginia
NPI 1306509724

Valecia Jackson is an Addiction (Substance Use Disorder) Counselor based in Petersburg, VA and is specialized in Addiction (Substance Use Disorder). Valecia Jackson practices in Petersburg, VA and has the professional credentials of CSAC. The NPI Number for Valecia Jackson is 1306509724 and holds a License No. (Virginia).

The current practice location address for Valecia Jackson is 420 Pine Ridge Rd, Petersburg, VA and can be reached out via phone at 804-714-5998.

Location: 420 Pine Ridge Rd, Petersburg, VA, 23805-1320
person
Provider Profile Details
NPI Number
1306509724
Provider Name
Valecia Jackson
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
420 Pine Ridge Rd, Petersburg, VA, 23805-1320
Phone Number
804-714-5998
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0709024300 05 VA
0709024300 01 VA SUBSTANCE ABUSE
institution
Provider Business Practice Location Address Details
Address
420 Pine Ridge Rd
City
State
Zip
23805-1320
Phone Number
804-714-5998
Fax Number
person
Provider Business Mailing Address Details
Address
420 Pine Ridge Rd
City
State
Zip
23805-1320
Phone Number
804-714-5998
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0709024300 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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