Provider Demographics
NPI:1225262959
Name:JASON, SILVIA VERONICA (LMFT)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:VERONICA
Last Name:JASON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:TRUJILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2990 RICHMOND AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3109
Mailing Address - Country:US
Mailing Address - Phone:713-333-3163
Mailing Address - Fax:
Practice Address - Street 1:2990 RICHMOND AVE STE 401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3109
Practice Address - Country:US
Practice Address - Phone:713-333-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-09
Last Update Date:2009-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5014106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist