Doctor Name: | SUSAN V. REYES-TORRES |
NPI Number: | 1366775504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M-08186 |
Business Practice Address: | 2010 Industrial Park Rd Espanola, NM - 875323600 |
Business Phone Number: | 5057537395 |
Business Fax Number: | 5057538373 |
Mailing Address: | Po Box 158, 538 N. Paseo De Onate ESPANOLA |
State: | NM |
Postal Code: | 875320158 |
Phone Number: | 5057537218 |
Fax Number: | 5057535815 |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 02/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | M-08186 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |