MEDICARE: KAYLE ANNE TORRES MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	96009	CA

General Provider Information

NPI Number	:	1093250185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLE ANNE TORRES MA

Provider Business Mailing Address
First Line	:	300 HARDING BLVD STE 103
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2471
Country	:	US
Telephone Number	:	916-259-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 WINDFIELD WAY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9360
Country	:	US
Telephone Number	:	916-357-5837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2016
Last Update Date	:	06/08/2023

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