Healthcare Provider Details

I. General information

NPI: 1437761343
Provider Name (Legal Business Name): VANESSA BERENICE TORRES LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10070 ARROW LEAF
MORENO VALLEY CA
92557-2803
US

IV. Provider business mailing address

10070 ARROW LEAF
MORENO VALLEY CA
92557-2803
US

V. Phone/Fax

Practice location:
  • Phone: 714-336-0977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC23218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: