SERGIO A IBANEZ

SAN DIEGO, CA
NPI1972021152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  89362)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-09-07
Last Update Date2022-07-25
Business Address
SERGIO A IBANEZ CM
3025 BEYER BLVD STE E-101
SAN DIEGO, CA 92154-3432
Phone number: 619-662-4100
Mailing Address
SERGIO A IBANEZ CM
1275 30TH ST
SAN DIEGO, CA 92154-3476
Phone number: 619-662-4100