Individual
JACQUELINE MARIE VILLALOBOS GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 BLAINE RANCH ST, HENDERSON, NV 89012-4805
(512) 769-6995
Mailing address
1515 E TROPICANA AVE, LAS VEGAS, NV 89119-6517
(512) 769-6995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/29/2020
Last updated
04/07/2022
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