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Individual
GUSTAVO TORRES
Active
Individual
GUSTAVO TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63539
CA
1041C0700X
Clinical Social Worker
Primary
99029
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/03/2010
Last updated
01/11/2021
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