RAFAEL ALEXANDER IBARRA

PROVO, UT
NPI1134426059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  7894027-6004)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: UT  7894027-6009)
Enumeration Date2011-02-14
Last Update Date2023-04-26
Business Address
Mr. RAFAEL ALEXANDER IBARRA APC
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
Mailing Address
Mr. RAFAEL ALEXANDER IBARRA APC
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760