Individual
MRS. MOLLI SUE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 PARISH CT, BURLEY, ID 83318-3169
(253) 921-4645
Mailing address
760 K ST APT 12, IDAHO FALLS, ID 83402-2762
(208) 715-0539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-33722
ID
Other
Enumeration date
10/05/2016
Last updated
08/29/2024
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