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NPI 1275109951

NPI 1275109951 : GISELLA M TORRES : TUKWILA, WA

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General NPI Number Information
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    NPI Number           |    1275109951
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    Entity Type          |    Individual 
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    Provider Name        |    GISELLA M TORRES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2021
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    Last Update Date     |    09/03/2025
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Provider Practice Location Address
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    Address Line         |    6100 SOUTHCENTER BLVD 
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    City                 |    TUKWILA
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    State                |    WA
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    Zip                  |    98188-2442
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    Country              |    US
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    Telephone            |    64-447-8002
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17419 119TH LN SE APT E12 
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98058-6054
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    Country              |    US
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    Telephone            |    425-873-0403
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    SC61313081
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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