Individual
IRENE GUADALUPE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E COLLEGE WAY, MOUNT VERNON, WA 98273-5624
(360) 542-8920
Mailing address
2300 E KINCAID ST, MOUNT VERNON, WA 98274-4747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61415367
WA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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