Individual provider · Type 1 NPI
Gwendolyn Diana Bush Ibekwe
Addiction (Substance Use Disorder) Counselor · Orange, CA
NPI number
1154218758
Active
Practice location
265 S Anita Dr
Orange, CA 92868-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21385 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154218758
Gwendolyn Diana Bush Ibekwe's National Provider Identifier is 1154218758, issued on Jun 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orange, CA. The record was last updated on Jun 18, 2025.