Individual
DENIS IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 BROOKLAND CT APT 5, WINCHESTER, VA 22602-6258
(305) 915-2078
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 527-3145
(864) 990-0653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103318
VA
Other
Enumeration date
07/25/2018
Last updated
08/06/2025
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