Doctor Name: | TINA LOUISE TORRES |
NPI Number: | 1073757696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDM |
License Number: | RC00028351 |
Business Practice Address: | 720 W Court St Suite 8 Pasco, WA - 993014178 |
Business Phone Number: | 5095456506 |
Business Fax Number: | |
Mailing Address: | Po Box 1452, PASCO |
State: | WA |
Postal Code: | 993011452 |
Phone Number: | 5095472204 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00028351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |