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Mr. Rafael Alexander Ibarra, APC
Mental Health Counselor in Provo, Utah
NPI 1134426059

Rafael Alexander Ibarra is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Rafael Alexander Ibarra practices in Provo, UT and has the professional credentials of APC. The NPI Number for Rafael Alexander Ibarra is 1134426059 and holds a License No. 7894027-6009 (Utah).

The current practice location address for Rafael Alexander Ibarra is 750 N Freedom Blvd Ste 300, Provo, UT and can be reached out via phone at 801-373-4760.

Location: 750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134426059
Provider Name
Rafael Alexander Ibarra
Credential
APC
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
02/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356357115 05 UT
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
7894027-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7894027-6009 (Utah)
Definition
Definition to come...
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