Individual provider · Type 1 NPI

Marco Antonio Ibarra Medina

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1093547689 Active

Practice location

4440 University Ave
Riverside, CA 92501-3199

Call (951) 683-6596 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093547689

Marco Antonio Ibarra Medina's National Provider Identifier is 1093547689, issued on Aug 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Aug 18, 2024.