Individual
LIZETH CORTEZ IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N JOHNSON AVE STE P, EL CAJON, CA 92020-2589
(619) 441-1907
Mailing address
1612 MARY LOU ST, SAN DIEGO, CA 92102-2621
(707) 384-7771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
10/30/2023
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