Individual provider · Type 1 NPI

Ifrah Bashi Laitoussi

Peer Specialist · Fargo, ND

NPI number 1003500695 Active

Practice location

1323 23rd St S Ste D
Fargo, ND 58103-3759

Call (701) 320-2102 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003500695

Ifrah Bashi Laitoussi's National Provider Identifier is 1003500695, issued on Jun 6, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fargo, ND. The record was last updated on Jul 17, 2025.