Individual provider · Type 1 NPI
Jacqueline Ibarra Gonzalez
Mental Health Counselor · Phoenix, AZ
NPI number
1225909237
Active
Practice location
15825 S 46th St Ste 126
Phoenix, AZ 85048-0445
Mailing address
914 E Broadway Rd # 1055
Tempe, AZ 85282-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-23659 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1225909237
Jacqueline Ibarra Gonzalez's National Provider Identifier is 1225909237, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 15, 2025.