Provider Demographics
NPI:1104082460
Name:TORRES, VANESSA LINDA CRUZ (LCSW)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:LINDA CRUZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 DURFEE AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2510
Mailing Address - Country:US
Mailing Address - Phone:626-455-4610
Mailing Address - Fax:213-949-2847
Practice Address - Street 1:4740 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2005
Practice Address - Country:US
Practice Address - Phone:626-422-8033
Practice Address - Fax:626-859-6537
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical