Maral Jacobs | Las Vegas, NV • PECOS Search

Maral Jacobs

Counselor

Behavioral Health & Social Service Providers

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

PECOS Enrollment

Based on the most recent information from CMS, provider Maral Jacobs does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1235545369
Provider Type
Individual
Full Name
Jacobs, Maral
Title
Mrs.
Credential
M.S.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/9/2014
Last Updated
5/2/2022

Contact Information

Practice Location

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

Unlisted Fax

Mailing Location

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CP0155 Nevada