Individual
LISSETTE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 TORINGDON WAY, CHARLOTTE, NC 28277-3867
(413) 304-1889
Mailing address
3540 TORINGDON WAY, CHARLOTTE, NC 28277-3867
(413) 304-1889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
2089
MA
101YP2500X
Professional Counselor
25126
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208645276
—
NC
Enumeration date
08/29/2007
Last updated
03/11/2021
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