Provider Demographics
NPI:1952627002
Name:TORREZ, NICHOLAS DAVID (AMFT103539)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:DAVID
Last Name:TORREZ
Suffix:
Gender:M
Credentials:AMFT103539
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 PRISM WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5087
Mailing Address - Country:US
Mailing Address - Phone:661-303-1657
Mailing Address - Fax:661-885-6007
Practice Address - Street 1:7701 PRISM WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-5087
Practice Address - Country:US
Practice Address - Phone:661-303-1657
Practice Address - Fax:661-885-6007
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT103539106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist