JOSE IBARRA

SYLMAR, CA
NPI1538585054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-07
Last Update Date2014-03-07
Business Address
-- JOSE IBARRA
14256 DYER ST
SYLMAR, CA 91342-4133
Phone number: 818-288-6705
Mailing Address
-- JOSE IBARRA
14256 DYER ST
SYLMAR, CA 91342-4133
Phone number: 818-288-6705