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Provider Information for 1427172568


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KENNIA TORRES MA, LMFT


Other Names:  
Professional Name: 
KENNIA TORRES MA, LMFT

Sex: Female

NPI: 1427172568
Last Updated: 2022-05-18
Certification Date: 2022-05-18

Details

NameValue
NPI1427172568
Enumeration Date2007-03-16
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 4245
HUNTINGTON BEACH, CA 92605-4245
United States

Phone: 310-000-0000 | Fax:
 
Primary Practice Address 17011 BEACH BLVD
HUNTINGTON BEACH, CA 92647-5946
United States

Phone: 714-000-0000 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA126021