Individual
TEMOC RAFAEL TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
845 W CENTER ST, STE C102, POCATELLO, ID 83204-4205
(208) 881-3212
(208) 973-4911
Mailing address
845 W CENTER ST, STE C102, POCATELLO, ID 83204-4205
(208) 881-3212
(208) 973-4911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8321850
ID
Other
Enumeration date
03/04/2019
Last updated
12/04/2024
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