institution
Lorraine Ibold, Lcsw Counseling
Health Service Clinic/Center in Santa Ana, California
NPI 1720642192

Lorraine Ibold, Lcsw Counseling is a Health Service Clinic/Center based in Santa Ana, CA and is specialized in Health Service. Lorraine Ibold, Lcsw Counseling practices in Santa Ana, CA. The NPI Number for Lorraine Ibold, Lcsw Counseling is 1720642192 and holds a License No. (California).

The current practice location address for Lorraine Ibold, Lcsw Counseling is 505 N Tustin Ave Ste 134, Santa Ana, CA and can be reached out via phone at 714-541-4921 and via fax at 714-541-4925.

Location: 505 N Tustin Ave Ste 134, Santa Ana, CA, 92705-3712
institution
Provider Profile Details
NPI Number
1720642192
Provider Name
Lorraine Ibold, Lcsw Counseling
Credential
Provider Entity Type
Organization
Address
505 N Tustin Ave Ste 134, Santa Ana, CA, 92705-3712
Phone Number
714-541-4921
Fax Number
714-541-4925
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427079573 01 CA AETNA
institution
Provider Business Practice Location Address Details
Address
505 N Tustin Ave Ste 134
City
State
Zip
92705-3712
Phone Number
714-541-4921
Fax Number
714-541-4925
person
Provider Business Mailing Address Details
Address
505 N Tustin Ave Ste 134
City
State
Zip
92705-3712
Phone Number
714-541-4921
Fax Number
714-541-4925
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
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Definition
Definition to come...
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