Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miguel Ibarra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346883840

Miguel Ibarra is a Student in an Organized Health Care Education/Training Program in Sebastopol, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

438 Eddie Ln
Sebastopol, CA 95472-3425
Phone: (707) 823-8722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1346883840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address450 Stony Point Rd Apt 103, Santa Rosa, CA 95401-5970

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