Provider Demographics
NPI:1720426307
Name:IBARRA, NANCY RUBY (MAE, LPC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:RUBY
Last Name:IBARRA
Suffix:
Gender:F
Credentials:MAE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ANTELOPE LN
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-9128
Mailing Address - Country:US
Mailing Address - Phone:307-287-3564
Mailing Address - Fax:
Practice Address - Street 1:4585 HIGHWAY 26/85
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-8418
Practice Address - Country:US
Practice Address - Phone:307-287-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional