Individual
CECILIA Y SIBRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-5201
(562) 826-8000
Mailing address
PO BOX 2194, MONTCLAIR, CA 91763-0694
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TRAINEE
CA
104100000X
Social Worker
122649
IA
104100000X
Social Worker
Primary
150.108114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95-1946482
—
CA
Enumeration date
12/02/2014
Last updated
01/13/2025
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