MEDICARE: MRS. VALERIE P. JACKSON MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH3570	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386882546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALERIE P. JACKSON MA

Provider Business Mailing Address
First Line	:	3270 SUNTREE BLVD STE 127
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-7540
Country	:	US
Telephone Number	:	321-610-7949
Fax Number	:	321-610-7947

Provider Business Practice Location Address
First Line	:	3270 SUNTREE BLVD STE 127
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-7540
Country	:	US
Telephone Number	:	321-610-7949
Fax Number	:	321-610-7947

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2009
Last Update Date	:	01/27/2009

Similar Medicare Providers

1619831229 — TAYLOR KILPATRICK
Practice Location Address:

3270 SUNTREE BLVD STE 103A
MELBOURNE, FL
32940-7540

Practice Phone: 321-757-4015
Practice Fax:

1013155274 — MRS. KWANYA TOUSSAINT LMHC
Practice Location Address:

3270 SUNTREE BLVD STE 127
MELBOURNE, FL
32940-7540

Practice Phone: 321-610-7949
Practice Fax: 321-610-7947

1821365891 — MRS. ELISA YOHO ED.S.
Practice Location Address:

3270 SUNTREE BLVD STE 202
MELBOURNE, FL
32940-7540

Practice Phone: 321-749-2549
Practice Fax:

1689921892 — MR. JARVIS AC WHEELER MSW,MPA
Practice Location Address:

3270 SUNTREE BLVD STE 101
MELBOURNE, FL
32940-7540

Practice Phone: 321-610-7949
Practice Fax: 321-610-7947

1932456191 — PAUL ANDREW BOISSONNEAULT ED.S.
Practice Location Address:

3270 SUNTREE BLVD STE 101
MELBOURNE, FL
32940-7540

Practice Phone: 321-610-7949
Practice Fax:

1982951943 — PAOLA ZAKI MA
Practice Location Address:

3270 SUNTREE BLVD STE 101
MELBOURNE, FL
32940-7540

Practice Phone: 321-610-7949
Practice Fax:

Directions to “ MRS. VALERIE P. JACKSON MA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.