Individual provider · Type 1 NPI

Jerry Ibarra, CATC IV

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1700336732 Active

Practice location

9331 Pacific Ave
Anaheim, CA 92804-6374

Call (714) 319-8078 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X156156 (CA)

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

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About NPI 1700336732

Jerry Ibarra, CATC IV's National Provider Identifier is 1700336732, issued on Oct 13, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Oct 13, 2016.