Miguel Ibarra

NPI #1346883840 in Sebastopol, California

Provider Information

NPI Number: 1346883840
Entity Type: Individual
Name: Miguel Ibarra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 28, 2019
Last Updated: Aug 28, 2024

Practice Location

Address: 438 EDDIE LN
City: Sebastopol
State: California
ZIP Code: 95472-3425
Phone: (707) 823-8722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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