Individual
KELLY LYNN IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1239 76TH ST SW STE H4, BYRON CENTER, MI 49315-7921
(616) 258-6270
Mailing address
1239 76TH ST SW STE H4, BYRON CENTER, MI 49315-7921
(616) 780-1243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
MI
Other
Enumeration date
04/19/2019
Last updated
06/25/2025
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