MEDICARE: MONICA IBARRA

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	106H00000X	Marriage & Family Therapist	161498	CA

General Provider Information

NPI Number	:	1861064982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA IBARRA

Provider Business Mailing Address
First Line	:	370 CAMEO DR
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-1607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41111 MISSION BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-3922
Country	:	US
Telephone Number	:	925-354-1905
Fax Number	:

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

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	03/31/2026

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Directions to “ MONICA IBARRA ” Practice Location

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