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NPI Code Detail

MEDICARE: ANGELINA ELIZABETH TORRES

MEDICARE: ANGELINA ELIZABETH TORRES
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1194535385
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINA ELIZABETH TORRES
Provider Business Mailing Address
First Line : 2724 BARNDANCE LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-4580
Country : US
Telephone Number : 707-241-6671
Fax Number :
Provider Business Practice Location Address
First Line : 790 SONOMA AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4713
Country : US
Telephone Number : 707-544-3295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2025
Last Update Date : 01/09/2025

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Directions to “ ANGELINA ELIZABETH TORRES ” Practice Location

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