Individual provider · Type 1 NPI

Venita Kathleen Ibarra, RADT1

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1225607674 Active

Practice location

504 W Vista Way
Vista, CA 92083-5704

Call (760) 940-1836 Map

Fax (760) 940-1274

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1299450318 (CA)

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

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About NPI 1225607674

Venita Kathleen Ibarra, RADT1's National Provider Identifier is 1225607674, issued on Jun 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Jun 21, 2021.