Healthcare Provider Details

I. General information

NPI: 1831320779
Provider Name (Legal Business Name): KIRA TORRE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MARINA BLVD
PITTSBURG CA
94565-2068
US

IV. Provider business mailing address

51 MARINA BLVD
PITTSBURG CA
94565-2068
US

V. Phone/Fax

Practice location:
  • Phone: 925-521-1270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMF63874
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberIMF63874
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number80905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: