Individual
DIANA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
(480) 641-1165
Mailing address
1212 W HALSTEAD DR, PHOENIX, AZ 85023-2619
(602) 460-7716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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