Doctor Name: | JARED TORBET |
NPI Number: | 1013326842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 2010042076 |
Business Practice Address: | 210 Hoover St Jefferson City, MO - 651090800 |
Business Phone Number: | 5736324321 |
Business Fax Number: | 5736324324 |
Mailing Address: | 900 E Laharpe St, KIRKSVILLE |
State: | MO |
Postal Code: | 635014520 |
Phone Number: | 6606651962 |
Fax Number: | 6606653989 |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2010042076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |