Marco Antonio Ibarra Medina
Marco Antonio Ibarra Medina is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4440 University AveRiverside, CA 92501-3199
Phone: (951) 683-6596
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1093547689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 18, 2024 |
| Certification date | August 18, 2024 |
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