Individual
DESERIEE CELESTE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21727 76TH AVE W STE J, EDMONDS, WA 98026
(206) 849-8677
Mailing address
21727 76TH AVE W STE J, EDMONDS, WA 98026-7545
(206) 849-8677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61487665
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2018
Last updated
09/24/2025
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