Provider Demographics
NPI:1902615131
Name:TORELLO-JONES, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TORELLO-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:TORELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1529 BLACK MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-7103
Mailing Address - Country:US
Mailing Address - Phone:650-787-9246
Mailing Address - Fax:
Practice Address - Street 1:1529 BLACK MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-7103
Practice Address - Country:US
Practice Address - Phone:650-787-9246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.22073211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical