Luis Ibarra, CADCI

NPI #1952760415 in Pendleton, Oregon

Provider Information

NPI Number: 1952760415
Entity Type: Individual
Name: Luis Ibarra, CADCI
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADCI
Enumeration Date: Feb 12, 2016
Last Updated: Feb 12, 2016

Practice Location

Address: 17 SW FRAZER AVE
City: Pendleton
State: Oregon
ZIP Code: 97801-2163
Phone: (541) 278-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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