Individual provider · NPI-1

Jacquelyn Armenta

Counselor · Gurnee, IL

NPI number1710818802
StatusActive
Last updated in NPPESSep 16, 2026

Details

NPI
1710818802
Entity type
Individual (NPI-1)
Name
Jacquelyn Armenta
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2026
Certification date
Sep 16, 2026
Last updated
Sep 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor–ILYes
106S00000X Behavior Technician–IL

Practice location

105 N Greenleaf St Ste B
Gurnee, IL 60031-3326

Phone 847-604-0955

Mailing address

520 S Lincoln Ave
Waukegan, IL 60085-6304

Phone 847-604-0955

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