Provider Demographics
NPI:1053941641
Name:TORREZ, ALFONSO ABRAHAM
Entity type:Individual
Prefix:
First Name:ALFONSO
Middle Name:ABRAHAM
Last Name:TORREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 SIERRA SUNRISE TER STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8441
Mailing Address - Country:US
Mailing Address - Phone:530-877-1965
Mailing Address - Fax:530-897-5791
Practice Address - Street 1:2580 SIERRA SUNRISE TER STE 100
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8441
Practice Address - Country:US
Practice Address - Phone:530-877-1965
Practice Address - Fax:530-894-5791
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health