SONYA IBABAO


Address: 22 Mccleary Rd, Mccleary, WA 98557-9301
Phone: 3604709334

SONYA IBABAO (NPI# 1134363963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134363963
Entity Type Individual
Full Name SONYA IBABAO
Practice Address 22 Mccleary Rd
Mccleary
WA 98557-9301
Practice Telephone 3604709334
Mailing Telephone 3604709334
Enumeration Date 2009-04-23
Last Update Date 2009-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RC60026709 WA Behavioral Health & Social Service Providers

Office Location

Street Address 22 MCCLEARY RD
City MCCLEARY
State WA
Zip Code 98557-9301

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1619289485 Debra S Hall Nurse Practitioner 1159 Mox Chehalis Rd, Mccleary, WA 98557-9416 2010-07-09
1003046426 John L Rodakowski Family Medicine 322 S. Birch Street, Mcclearly, WA 98557-9522 2009-07-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City MCCLEARY
Zip Code 98557

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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