Individual
MS. BETHSAIDA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
1250 SILVER ST, RUSHFORD CENTER-BEHAVIORAL HEALTH SERVICES, MIDDLETOWN, CT 06457-3946
(860) 852-1093
(860) 346-9041
Mailing address
1250 SILVER ST, RUSHFORD CENTER-BEHAVIORAL HEALTH SERVICES, MIDDLETOWN, CT 06457-3946
(860) 852-1093
(860) 346-9041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000886
CT
101YM0800X
Mental Health Counselor
Primary
002247
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000886
DPH
CT
01
—
002247
DPH
CT
Enumeration date
11/01/2011
Last updated
11/20/2014
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