Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Valecia Jackson, CSAC

Individual provider Mental Health Counselor · NPI 1306509724

Valecia Jackson, CSAC is a Mental Health Counselor in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

420 Pine Ridge Rd
Petersburg, VA 23805-1320
Phone: (804) 714-5998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0709024300 (VA)
Mental Health Counselor Taxonomy 101YM0800X (VA)

Record details

NPI number1306509724
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorYes
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address420 Pine Ridge Rd, Petersburg, VA 23805-1320

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