person
Mr. Jerry Ibarra, CATCIV
Addiction (Substance Use Disorder) Counselor in Anaheim, California
NPI 1700336732

Jerry Ibarra is an Addiction (Substance Use Disorder) Counselor based in Anaheim, CA and is specialized in Addiction (Substance Use Disorder). Jerry Ibarra practices in Anaheim, CA and has the professional credentials of CATCIV. The NPI Number for Jerry Ibarra is 1700336732 and holds a License No. 156156 (California).

The current practice location address for Jerry Ibarra is 9331 Pacific Ave, Anaheim, CA and can be reached out via phone at 714-319-8078.

Location: 9331 Pacific Ave, Anaheim, CA, 92804-6374
person
Provider Profile Details
NPI Number
1700336732
Provider Name
Jerry Ibarra
Credential
CATCIV
Provider Entity Type
Individual
Gender
Male
Address
9331 Pacific Ave, Anaheim, CA, 92804-6374
Phone Number
714-319-8078
Fax Number
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9331 Pacific Ave
City
State
Zip
92804-6374
Phone Number
714-319-8078
Fax Number
person
Provider Business Mailing Address Details
Address
9331 Pacific Ave
City
State
Zip
92804-6374
Phone Number
714-319-8078
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
156156 (California)
Definition
Definition to come...
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