Provider Demographics
NPI:1245423847
Name:TORRES JENKINS, IRENE S (COUNSELOR REGISTERED)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:S
Last Name:TORRES JENKINS
Suffix:
Gender:F
Credentials:COUNSELOR REGISTERED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 18TH AVE APT 50
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-2187
Mailing Address - Country:US
Mailing Address - Phone:509-962-4179
Mailing Address - Fax:
Practice Address - Street 1:301 E 18TH AVE APT 50
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-2187
Practice Address - Country:US
Practice Address - Phone:509-962-4179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator