Doctor Name: | JOANNE M. TORRES-JACOBS |
NPI Number: | 1013163831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11732-132 |
Business Practice Address: | 515 S Washburn St Oshkosh, WI - 549047975 |
Business Phone Number: | 9202368570 |
Business Fax Number: | |
Mailing Address: | 1570 Midway Pl, MENASHA |
State: | WI |
Postal Code: | 549521165 |
Phone Number: | 9207201464 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11732-132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |