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Luis Roberto Tirado
Addiction (Substance Use Disorder) Counselor in Calexico, California
NPI 1245823491

Luis Roberto Tirado is an Addiction (Substance Use Disorder) Counselor based in Calexico, CA and is specialized in Addiction (Substance Use Disorder). Luis Roberto Tirado practices in Calexico, CA. The NPI Number for Luis Roberto Tirado is 1245823491 and holds a License No. (California).

The current practice location address for Luis Roberto Tirado is 1907 Eisenhower Ave, Calexico, CA and can be reached out via phone at 760-234-6129.

Location: 1907 Eisenhower Ave, Calexico, CA, 92231-9401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245823491
Provider Name
Luis Roberto Tirado
Credential
Provider Entity Type
Individual
Gender
Male
Address
1907 Eisenhower Ave, Calexico, CA, 92231-9401
Phone Number
760-234-6129
Fax Number
Provider Enumeration Date
02/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99621058D 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1907 Eisenhower Ave
City
Calexico
State
California
Zip
92231-9401
Phone Number
760-234-6129
Fax Number
person
Provider Business Mailing Address Details
Address
1907 Eisenhower Ave
City
Calexico
State
California
Zip
92231-9401
Phone Number
760-234-6129
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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