| Andrea Torrez, Ma, Lcsw, Llc | |
|
17 12th Ave S Suite 207 Nampa ID 83651-3952 | |
| (208) 350-8998 | |
| Not Available |
| Full Name | Andrea Torrez, Ma, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17 12th Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Andrea Noel Torrez (OWNER) |
| Authorized Official Contact | 2083508998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Torrez, Ma, Lcsw, Llc 2488 W Washington Ave Nampa ID 83686-2677 Ph: (208) 350-8998 | Andrea Torrez, Ma, Lcsw, Llc 17 12th Ave S Suite 207 Nampa ID 83651-3952 Ph: (208) 350-8998 |
| NPI Number | 1467889170 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Medicare PECOS PAC ID | 7911137054 |
|---|---|
| Medicare Enrollment ID | O20140311000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467889170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-30219 (Idaho) | Primary |
| Provider Name | Javier Torrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366770224 PECOS PAC ID: 4587849922 Enrollment ID: I20110428000065 |
| Provider Name | Andrea N Torrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710288014 PECOS PAC ID: 4183802028 Enrollment ID: I20110707000231 |
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