Individual
KELLY YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 TALON RIDGE WAY APT 388, OCEANSIDE, CA 92058-7115
(904) 501-1468
Mailing address
340 TALON RIDGE WAY APT 388, OCEANSIDE, CA 92058-7115
(904) 501-1468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
11089
CA
Other
Enumeration date
07/07/2017
Last updated
03/02/2023
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