Villalobos Garrett, Jacqueline Marie

Villalobos Garrett, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 1404 Blaine Ranch St , Henderson NV 89012-4805. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Exercise & Sports is her primary health care specialty. Villalobos Garrett, Jacqueline Marie can be contacted via phone (512) 769-6995.

Contact Information

Primary practice address
1404 Blaine Ranch St Henderson NV 89012-4805
Phone: (512) 769-6995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X

Profile Details

NPI number 1215551841
LBN Legal business name Villalobos Garrett, Jacqueline Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2020
Last updated Apr 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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