Individual
MRS. ROSALINDA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
107 EAST 4TH STREET, ELOY, AZ 85131
(520) 466-7765
(520) 466-4475
Mailing address
107 E 4TH ST, ELOY, AZ 85131-2506
(520) 466-7765
(520) 466-4475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15068
AZ
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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