Healthcare Provider Details

I. General information

NPI: 1922910629
Provider Name (Legal Business Name): JAREK J TORRES-GONZALEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 COMMERCIAL ST
HOLYOKE MA
01040-4704
US

IV. Provider business mailing address

39 N SUMMER ST
HOLYOKE MA
01040-6245
US

V. Phone/Fax

Practice location:
  • Phone: 413-636-0256
  • Fax:
Mailing address:
  • Phone: 413-846-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: