Individual provider · Type 1 NPI
Susan Lucille Ibarra
Counselor · Moreno Valley, CA
NPI number
1619467958
Active
Practice location
26624 Saffron Cir
Moreno Valley, CA 92555-3834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | F1196099 (CA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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About NPI 1619467958
Susan Lucille Ibarra's National Provider Identifier is 1619467958, issued on May 12, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 26, 2018.