Individual ProviderValerie Cannon JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185(678) 408-4622PECOS EnrollmentBased on the most recent information from CMS, provider Valerie Cannon Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1952941007Provider TypeIndividualFull NameJackson, Valerie CannonGenderFemaleSole ProprietorNoEnumeration Date1/7/2020Last Updated1/7/2020Contact InformationPractice LocationPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185Phone(678) 408-4622FaxUnlisted FaxMailing LocationMailing Address1815 N Expressway Ste B, Griffin, GA 30223-1185Phone(678) 408-4622FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer