VIRGIL GLENN IBERG

RIVERSIDE, CA
NPI1538203815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  none)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Mr. VIRGIL GLENN IBERG
3768 10TH ST
RIVERSIDE, CA 92501-3621
Phone number: 951-276-3071
Mailing Address
Mr. VIRGIL GLENN IBERG
1310 N UNIVERSITY ST
REDLANDS, CA 92374-2643
Phone number: 909-792-8810