Individual provider · Type 1 NPI

Kasandra Jasmine Ibarra, CTRS

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1710690748 Active

Practice location

12021 Wilmington Ave, Bldg. 18 Suite 300
Los Angeles, CA 90059

Call (424) 454-6041 Map

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist 225800000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18041 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710690748

Kasandra Jasmine Ibarra, CTRS's National Provider Identifier is 1710690748, issued on Jan 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 24, 2024.