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Individual

JESSICA LIANA DEVON TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1180 W MAHALO PL UNIT B, COMPTON, CA 90220-5443
(310) 868-5331
Mailing address
1180 W MAHALO PL UNIT B, COMPTON, CA 90220-5443
(310) 868-5379

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW113703
CA
104100000X
Social Worker
Primary
ASW113703
CA
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner

Other

Enumeration date
01/25/2018
Last updated
03/14/2024
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