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Individual

MARCO RODRIGO DE LA TORRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1180 3RD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(619) 442-0277

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20645
CA
101YP2500X
Professional Counselor
Primary
21417
CA
106H00000X
Marriage & Family Therapist
160271
CA

Other

Enumeration date
02/20/2025
Last updated
12/11/2025
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