Provider Demographics
NPI:1114783602
Name:LIGORRIA-TORRES, ALYSSA RAYLENE (MA)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:RAYLENE
Last Name:LIGORRIA-TORRES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 CAMEO CT
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-6236
Mailing Address - Country:US
Mailing Address - Phone:909-631-9732
Mailing Address - Fax:
Practice Address - Street 1:16168 BEACH BLVD STE 215
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3881
Practice Address - Country:US
Practice Address - Phone:714-849-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144874106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist