Individual
LAURA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 681-1940
Mailing address
621 COTTS WAY, OXFORD, MI 48371-4874
(248) 842-4520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012647
MI
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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