| 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 |