Individual
ANDREA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N MICHIGAN AVE STE 1530, CHICAGO, IL 60601-4000
(312) 248-4930
Mailing address
2941 W 25TH PL, CHICAGO, IL 60623-4116
(773) 673-4193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019330
IL
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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