VALECIA JACKSON CSAC
NPI 1306509724
Counselor - Addiction (Substance Use Disorder) in Petersburg, VA

Q: What is Valecia Jackson's NPI number?

The NPI number for Valecia Jackson is 1306509724. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Valecia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Valecia Jackson was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2021

420 PINE RIDGE RD, PETERSBURG, VA 23805(804) 714-5998 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Valecia Jackson Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALECIA JACKSON CSAC (NPI 1306509724) is an individual addiction (substance use disorder) provider in Petersburg, Virginia, licensed in Virginia (0709024300) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1306509724

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameVALECIA JACKSONCredential: CSAC

Location Address420 PINE RIDGE RDPetersburg, VA 23805-1320

Mailing Address420 Pine Ridge RdPetersburg, VA 23805-1320 · (804) 714-5998

Phone(804) 714-5998

Sole ProprietorYes

Enumeration DateOctober 21, 2021

NPPES CertifiedOctober 21, 2021

✔ NPI 1306509724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in VA · 0709024300

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

420 PINE RIDGE RD, Petersburg, VA 23805

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Other Identifiers 2

Medicaid0709024300VA

Other0709024300VA · Substance Abuse

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON PROFESSIONAL SERV LLC

Counselor (Addiction (Substance Use Disorder))

420 PINE RIDGE RD
PETERSBURG, VA 23805

Petersburg City (804) 714-5998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valecia Jackson's NPI number?

The NPI number for Valecia Jackson is 1306509724. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Valecia Jackson located?

Valecia Jackson practices at 420 Pine Ridge Rd, Petersburg, VA 23805. The listed phone number is (804) 714-5998.

What is Valecia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Valecia Jackson was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.