Individual
DIANA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 CENTRAL PARK SQ STE 215, LOS ALAMOS, NM 87544-4004
(505) 273-7585
Mailing address
190 CENTRAL PARK SQ STE 215, LOS ALAMOS, NM 87544-4004
(505) 273-7585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH0216881
NM
101YP2500X
Professional Counselor
Primary
CCMH0216881
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35588519
—
NM
Enumeration date
02/25/2016
Last updated
09/21/2021
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