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Individual
MR. RAFAEL ALEXANDER IBARRA
Active
Individual
MR. RAFAEL ALEXANDER IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7894027-6004
UT
101YP2500X
Professional Counselor
7894027-6009
UT
Other
Enumeration date
02/14/2011
Last updated
04/26/2023
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