| Doctor Name: | ROBERTO HERNANDEZ TORRES |
| NPI Number: | 1013992221 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | LCSW11599 |
| Business Practice Address: | 3505 Western Ave Kingman, AZ - 864093011 |
| Business Phone Number: | 9287578111 |
| Business Fax Number: | 9287573256 |
| Mailing Address: | 1743 Sycamore Ave, Mohave Mental Health Clinic Inc KINGMAN |
| State: | AZ |
| Postal Code: | 864090927 |
| Phone Number: | 9287578111 |
| Fax Number: | 9287573256 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW11599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |