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Individual

MR. JUAN MIGUEL TORRES

Active
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Individual

MR. JUAN MIGUEL TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
150.107001
IL
1041C0700X
Clinical Social Worker
Primary
149.028113
IL

Other

Enumeration date
08/21/2020
Last updated
11/07/2024
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