Individual
MR. JOSE G TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.D.C
Contact information
Practice address
1005 W JEFFERSON BLVD, SUIT 205, DALLAS, TX 75208-5087
(972) 850-8069
Mailing address
1140 SUNNYSIDE AVE, DALLAS, TX 75211-6237
(972) 850-8069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11151
TX
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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