| Doctor Name: | MS. BLANCA V. IBARRA |
| NPI Number: | 1003007444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDPT |
| License Number: | RC00039617 |
| Business Practice Address: | 1516 S 11th St Tacoma, WA - 984053332 |
| Business Phone Number: | 2533961634 |
| Business Fax Number: | 2533961663 |
| Mailing Address: | 1516 S 11th St, TACOMA |
| State: | WA |
| Postal Code: | 984053332 |
| Phone Number: | 2533961634 |
| Fax Number: | 2533961663 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RC00039617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |