Individual
MR. MATTHEW JAMES TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC III 5317
Contact information
Practice address
204 S CHESTNUT ST, TRINIDAD, CO 81082-3035
(719) 845-0913
(719) 846-2276
Mailing address
204 S CHESTNUT ST, TRINIDAD, CO 81082-3035
(719) 845-0913
(719) 846-2276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5317
CO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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