Individual provider · Type 1 NPI

Lizette Ibanez

Professional Counselor · Modesto, CA

NPI number 1184080319 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Call (209) 287-6431 Map

Mailing address

420 E Canal Dr
Turlock, CA 95380-3936

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1184080319

Lizette Ibanez's National Provider Identifier is 1184080319, issued on Jan 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Aug 15, 2022.