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Individual

JESSICA CHRISTINE IBARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4041 PLAZA DR W, FRESNO, CA 93702-1342
(559) 981-3811
Mailing address
2940 N FRESNO ST, FRESNO, CA 93703-1123
(559) 939-5999

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/13/2025
Last updated
06/16/2026
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