Jacqueline Marie Villalobos Garrett, is a
Psychologist - Exercise & Sports based in Henderson, Nevada. Jacqueline Marie Villalobos Garrett is licensed to practice in * (Not Available) (license number ) and her current practice location is
1404 Blaine Ranch St, Henderson, Nevada. She can be reached at her office (for appointments etc.) via phone at
(512) 769-6995.
NPI number for Jacqueline Marie Villalobos Garrett is 1215551841 and her current mailing address is 1515 E Tropicana Ave, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215551841.
Healthcare Provider's Profile
| Full Name | Jacqueline Marie Villalobos Garrett |
|---|
| Gender | Female |
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| Speciality | Psychologist - Exercise & Sports |
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| Location | 1404 Blaine Ranch St, Henderson, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215551841
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 04/07/2022
Medical Identifiers
Medical identifiers for Jacqueline Marie Villalobos Garrett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215551841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Marie Villalobos Garrett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Marie Villalobos Garrett,
1515 E Tropicana Ave,
Las Vegas, NV 89119-6517
Ph: (512) 769-6995 | Jacqueline Marie Villalobos Garrett,
1404 Blaine Ranch St,
Henderson, NV 89012-4805
Ph: (512) 769-6995 |
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