Provider Demographics
NPI:1295079887
Name:DANIELS, TORREY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:TORREY
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:TORREY
Other - Middle Name:
Other - Last Name:GOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:10805 HOLDER ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10805 HOLDER ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5144
Practice Address - Country:US
Practice Address - Phone:714-763-3801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36624106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist