MEDICARE: CELIA IBARRA MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0014442	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952776981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA IBARRA MA

Provider Business Mailing Address
First Line	:	2255 S ONEIDA ST STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2522
Country	:	US
Telephone Number	:	303-761-1977
Fax Number	:	303-343-0247

Provider Business Practice Location Address
First Line	:	2255 S ONEIDA ST STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2522
Country	:	US
Telephone Number	:	303-761-1977
Fax Number	:	303-343-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	07/05/2023

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Directions to “ CELIA IBARRA MA” Practice Location

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