Provider Demographics
NPI:1164022851
Name:TORRES, GABRIELLE (LMHCA)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MERCER ST APT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4057
Mailing Address - Country:US
Mailing Address - Phone:312-622-1072
Mailing Address - Fax:
Practice Address - Street 1:612 113TH ST S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4902
Practice Address - Country:US
Practice Address - Phone:312-622-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61084815101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health