Individual
ANNIELYNN DAYAO IBALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
36359
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/14/2011
Last updated
06/17/2014
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