JERRY IBARRA

ANAHEIM, CA
NPI1700336732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  156156)
Enumeration Date2016-10-13
Last Update Date2016-10-13
Business Address
Mr. JERRY IBARRA CATC IV
9331 PACIFIC AVE
ANAHEIM, CA 92804-6374
Phone number: 714-319-8078
Mailing Address
Mr. JERRY IBARRA CATC IV
9331 PACIFIC AVE
ANAHEIM, CA 92804-6374
Phone number: 714-319-8078
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