Individual provider · Type 1 NPI

Luis Ibarra, CADCI

Addiction (Substance Use Disorder) Counselor · Pendleton, OR

NPI number 1952760415 Active

Practice location

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Call (541) 663-4104 Map

Fax (541) 663-4142

Mailing address

PO Box 882
Pendleton, OR 97801-0882

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-03-25 (OR)
Peer Specialist 175T00000XNone listed

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

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About NPI 1952760415

Luis Ibarra, CADCI's National Provider Identifier is 1952760415, issued on Feb 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pendleton, OR. The record was last updated on Apr 6, 2026.