person
Luis Ibarra, CADCI
Addiction (Substance Use Disorder) Counselor in Pendleton, Oregon
NPI 1952760415

Luis Ibarra is an Addiction (Substance Use Disorder) Counselor based in Pendleton, OR and is specialized in Addiction (Substance Use Disorder). Luis Ibarra practices in Pendleton, OR and has the professional credentials of CADCI. The NPI Number for Luis Ibarra is 1952760415 and holds a License No. 13-03-25 (Oregon).

The current practice location address for Luis Ibarra is 17 Sw Frazer Ave, Pendleton, OR and can be reached out via phone at 541-278-6330 and via fax at 541-278-5419.

Location: 17 Sw Frazer Ave, Pendleton, OR, 97801-2163
person
Provider Profile Details
NPI Number
1952760415
Provider Name
Luis Ibarra
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
17 Sw Frazer Ave, Pendleton, OR, 97801-2163
Phone Number
541-278-6330
Fax Number
541-278-5419
Provider Enumeration Date
02/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Sw Frazer Ave
City
State
Zip
97801-2163
Phone Number
541-278-6330
Fax Number
541-278-5419
person
Provider Business Mailing Address Details
Address
17 Sw Frazer Ave
City
State
Zip
97801-2163
Phone Number
541-278-6330
Fax Number
541-278-5419
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13-03-25 (Oregon)
Definition
Definition to come...
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