Individual
ANGELICA DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 505-9190
Mailing address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 484-4428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/02/2018
Last updated
08/21/2023
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