MR. JERRY IBARRA


Address: 9331 Pacific Ave, Anaheim, CA 92804-6374
Phone: 7143198078

MR. JERRY IBARRA (NPI# 1700336732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700336732
Entity Type Individual
Full Name MR. JERRY IBARRA
Credential CATC IV
Practice Address 9331 Pacific Ave
Anaheim
CA 92804-6374
Practice Telephone 7143198078
Mailing Telephone 7143198078
Enumeration Date 2016-10-13
Last Update Date 2016-10-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
156156 CA Behavioral Health & Social Service Providers

Office Location

Street Address 9331 PACIFIC AVE
City ANAHEIM
State CA
Zip Code 92804-6374

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063041895 Jose Luis Marron I Counselor 617 S Harbor Blvd Unit B, Anaheim, CA 92805-4527 2020-04-03
1811524838 Travis Clay Reysen Counselor 2966 E Frontera St Apt 89, Anaheim, CA 92806-3430 2020-03-27
1356981393 Options Counselor 617 S Harbor Blvd Ste B, Anaheim, CA 92805-4527 2020-01-07
1225680994 Michael Cross Counselor 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 2019-07-12
1386201481 Joseph Hasrouni Counselor Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 2019-05-23
1619477262 Robert Daniel Colbert Counselor 532 N Magnolia Ave # 278, Anaheim, CA 92801-4937 2018-02-20
1336668607 Lorretta Cruz Hernandez Counselor 2071 S Jetty Dr Apt 3, Anaheim, CA 92802-4465 2017-09-18
1437679784 Margaret Elena Popp Counselor Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 2017-06-27
1912450925 Lori Botham Counselor 1700 W Cerritos Ave Unit 102, Anaheim, CA 92804-6176 2016-07-26
1336501477 Jon Heller Counselor 1005 S Mountvale Ct, Anaheim, CA 92808-2108 2016-03-28
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Competitor

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City ANAHEIM
Zip Code 92804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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