Provider Demographics
NPI:1679920508
Name:TORRES, CHRISTIAN I
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:TORRES
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 CYPRESS TREE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4802
Mailing Address - Country:US
Mailing Address - Phone:407-928-0609
Mailing Address - Fax:
Practice Address - Street 1:534 CYPRESS TREE CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4802
Practice Address - Country:US
Practice Address - Phone:407-928-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor