Provider Demographics
NPI:1912202268
Name:TORRES, RAQUEL (ADDICTION COUNSELOR)
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:ADDICTION COUNSELOR
Other - Prefix:MS
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:TORRES-RUIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:82-68 164TH STREET
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-883-4944
Mailing Address - Fax:718-883-6192
Practice Address - Street 1:82-68 164TH STREET
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-883-4944
Practice Address - Fax:718-883-6192
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY13168101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)