Individual
ANALIS MERCED IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Mailing address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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