Individual
MRS. BLAIR IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5849 CROCKER ST UNIT L, LOS ANGELES, CA 90003-1311
(323) 234-4445
(323) 234-4477
Mailing address
5849 CROCKER ST UNIT L, LOS ANGELES, CA 90003-1311
(323) 234-4445
(323) 234-4477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
66857
CA
1041C0700X
Clinical Social Worker
Primary
66857
CA
Other
Enumeration date
01/17/2013
Last updated
01/07/2019
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