Provider Demographics
NPI:1295938595
Name:TORRES, GABRIELA N (BA)
Entity type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:N
Last Name:TORRES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10052 GREENHORN CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-5445
Mailing Address - Country:US
Mailing Address - Phone:951-712-5485
Mailing Address - Fax:
Practice Address - Street 1:1504 BROOKHOLLOW DR
Practice Address - Street 2:SUITE 117
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5418
Practice Address - Country:US
Practice Address - Phone:714-432-8584
Practice Address - Fax:714-432-8588
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health