Provider Demographics
NPI:1609119387
Name:TORRES, AURA (ADDICTION COUNSELOR)
Entity Type:Individual
Prefix:MS
First Name:AURA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:ADDICTION COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3908
Mailing Address - Country:US
Mailing Address - Phone:213-381-5292
Mailing Address - Fax:
Practice Address - Street 1:1300 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3908
Practice Address - Country:US
Practice Address - Phone:213-381-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACAS#12889101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)