Provider Demographics
NPI:1114358116
Name:TORRES, YARELY ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:YARELY
Middle Name:ELIZABETH
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 ASTER LN
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-7517
Mailing Address - Country:US
Mailing Address - Phone:909-543-2718
Mailing Address - Fax:
Practice Address - Street 1:29995 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2632
Practice Address - Country:US
Practice Address - Phone:951-249-3919
Practice Address - Fax:951-272-8494
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional