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Individual
LUIS IBARRA
Active
Individual
LUIS IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-03-25
OR
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
02/12/2016
Last updated
04/06/2026
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