Panfilo Ibarra, | |
838 Beach Ct, Coloma, CA 95667-4625 | |
(530) 626-7252 | |
Not Available |
Full Name | Panfilo Ibarra |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 838 Beach Ct, Coloma, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205513967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1465420422 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Panfilo Ibarra, Po Box 1666, Placerville, CA 95667-1666 Ph: (530) 626-9240 | Panfilo Ibarra, 838 Beach Ct, Coloma, CA 95667-4625 Ph: (530) 626-7252 |
Judy Lorraine Johnson-forseth, RADT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct, Coloma, CA 95667 Phone: 530-626-7383 | |
Nicole Leeann Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct., Coloma, CA 95613 Phone: 530-626-7252 |