Provider Demographics
NPI:1114190386
Name:ARMES, JACQUELINE SILVA (LMFT)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:SILVA
Last Name:ARMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 720995
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95172-0995
Mailing Address - Country:US
Mailing Address - Phone:408-617-8097
Mailing Address - Fax:408-351-6599
Practice Address - Street 1:200 S 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-3679
Practice Address - Country:US
Practice Address - Phone:408-617-8097
Practice Address - Fax:408-351-6500
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA52139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health