Provider Demographics
NPI:1669606356
Name:GARCIA-BAROS, IGNACIO (LCSW)
Entity type:Individual
Prefix:MR
First Name:IGNACIO
Middle Name:
Last Name:GARCIA-BAROS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 SETTLERS DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-1833
Mailing Address - Country:US
Mailing Address - Phone:719-453-1415
Mailing Address - Fax:
Practice Address - Street 1:1848 SETTLERS DR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1833
Practice Address - Country:US
Practice Address - Phone:719-453-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9850131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical