Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kasandra Jasmine Ibarra, CTRS

Individual provider Recreation Therapist · NPI 1710690748

Kasandra Jasmine Ibarra, CTRS is a Recreation Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

12021 Wilmington Ave Bldg 18 Ste 300
Los Angeles, CA 90059
Phone: (424) 454-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18041 (CA)
Recreation Therapist Taxonomy 225800000X (CA)

Record details

NPI number1710690748
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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