Individual
DIANA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2822 N LOOP 1604 W STE 111, SAN ANTONIO, TX 78248-4551
(210) 273-4085
Mailing address
2822 N LOOP 1604 W STE 111, SAN ANTONIO, TX 78248-4551
(210) 273-4085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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