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Sergio A Ibanez, CM
Mental Health Counselor in San Diego, California
NPI 1972021152

Sergio A Ibanez is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Sergio A Ibanez practices in San Diego, CA and has the professional credentials of CM. The NPI Number for Sergio A Ibanez is 1972021152 and holds a License No. (California).

The current practice location address for Sergio A Ibanez is 3025 Beyer Blvd Ste E-101, San Diego, CA and can be reached out via phone at 619-662-4100.

Location: 3025 Beyer Blvd Ste E-101, San Diego, CA, 92154-3476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972021152
Provider Name
Sergio A Ibanez
Credential
CM
Provider Entity Type
Individual
Gender
Male
Address
3025 Beyer Blvd Ste E-101, San Diego, CA, 92154-3476
Phone Number
619-662-4100
Fax Number
Provider Enumeration Date
09/07/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
3025 Beyer Blvd Ste E-101
City
San Diego
State
California
Zip
92154-3432
Phone Number
619-662-4100
Fax Number
person
Provider Business Mailing Address Details
Address
3025 Beyer Blvd Ste E-101
City
San Diego
State
California
Zip
92154-3432
Phone Number
619-662-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
114575 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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