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Contact Information

JACQUELINE M VILLALOBOS GARRETT
1404 BLAINE RANCH ST
HENDERSON, NV89012-4805
 Phone: 512-769-6995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JACQUELINE M VILLALOBOS GARRETT · (Female)

NPI Number 1215551841
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2020
Last updated 04/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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