Individual provider · Type 1 NPI

Miguel Ibarra

Student in an Organized Health Care Education/Training Program · Sebastopol, CA

NPI number 1346883840 Active

Practice location

438 Eddie Ln
Sebastopol, CA 95472-3425

Call (707) 823-8722 Map

Mailing address

450 Stony Point Rd Apt 103
Santa Rosa, CA 95401-5970

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346883840

Miguel Ibarra's National Provider Identifier is 1346883840, issued on Oct 28, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sebastopol, CA. The record was last updated on Aug 28, 2024.