Healthcare Provider Details

I. General information

NPI: 1578763843
Provider Name (Legal Business Name): JENNIFER LINDA TORRES M.S., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 S ELM AVE CLINICA SIERRA VISTA - ELM BEHAVIORAL HEALTH
FRESNO CA
93706-5435
US

IV. Provider business mailing address

1400 S UNION AVE STE 100 CLINICA SIERRA VISTA - BEHAVIORAL HEALTH
BAKERSFIELD CA
93307-4179
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-5200
  • Fax: 559-457-5290
Mailing address:
  • Phone: 661-397-8775
  • Fax: 661-617-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 51173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: