JACQUELINE MARIE VILLALOBOS


Address: 1404 Blaine Ranch St, Henderson, NV 89012-4805
Phone: 5127696995

JACQUELINE MARIE VILLALOBOS (NPI# 1215551841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215551841
Entity Type Individual
Full Name JACQUELINE MARIE VILLALOBOS
Practice Address 1404 Blaine Ranch St
Henderson
NV 89012-4805
Mailing Address 1515 E Tropicana Ave
Las Vegas
NV 89119-6517
Practice Telephone 5127696995
Mailing Telephone 5127696995
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 103TE1100X Psychologist
Specialization: Exercise & Sports
Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Providers JACQUELINE VILLALOBOS

NPI Name Taxonomy Address Enumeration
1598710824 Jacqueline Villalobos Naturopath 330 N Campo St, Las Cruces, NM 88001-3433 2006-05-24
1306474929 Jacqueline Michelle Villalobos Social Worker 58 Academy Road, Albany, NY 12208 2020-03-30

Office Location

Street Address 1404 BLAINE RANCH ST
City HENDERSON
State NV
Zip Code 89012-4805

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Taxonomy Information

Taxonomy Code 103TE1100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Exercise & Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790282002 Community Youth Interalia Psychologist 9082 Vintage Wine Ave, Las Vegas, NV 89148-4916 2018-04-12
1972098366 Jordan Janelle-yvonne Jones Psychologist 4794 S Eastern Ave, Las Vegas, NV 89119 2018-06-27
1821586512 Jude Niba Psychologist 9082 Vintage Wine Ave, Las Vegas, NV 89148 2018-04-27

Competitor

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City HENDERSON
Zip Code 89012

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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