Healthcare Provider Details

I. General information

NPI: 1407639123
Provider Name (Legal Business Name): MARIA ESTHER TORRES CEBALLOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 N KAWEAH AVE
EXETER CA
93221-1200
US

IV. Provider business mailing address

1703 W BRIAN AVE
PORTERVILLE CA
93257-8870
US

V. Phone/Fax

Practice location:
  • Phone: 559-591-6680
  • Fax:
Mailing address:
  • Phone: 559-920-8146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number140174
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: