Healthcare Provider Details

I. General information

NPI: 1285366559
Provider Name (Legal Business Name): TIGER LEE FRANCES TORELLE AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEE FRANCES TORELLE

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 N JOHNSON AVE STE 111
EL CAJON CA
92020-1649
US

IV. Provider business mailing address

1400 N JOHNSON AVE STE 101
EL CAJON CA
92020-1651
US

V. Phone/Fax

Practice location:
  • Phone: 619-440-4801
  • Fax:
Mailing address:
  • Phone: 800-465-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number353106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: