Individual
VANESSA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 445-3645
Mailing address
31500 GRAPE ST STE 3-191, LAKE ELSINORE, CA 92532-9709
(951) 445-3645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-AYFPQS
CA
Other
Enumeration date
03/03/2022
Last updated
10/07/2024
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