person
Martha L De La Torre, LAC
Professional Counselor in Wichita, Kansas
NPI 1558937920

Martha L De La Torre is a Professional Counselor based in Phoenix, KS and is specialized in Professional. Martha L De La Torre practices in Wichita, KS and has the professional credentials of LAC. The NPI Number for Martha L De La Torre is 1558937920 and holds a License No. 19574 (Kansas).

The current practice location address for Martha L De La Torre is 4925 S Broadway Ave # 1044, Wichita, KS and can be reached out via phone at 308-207-5148. You can also correspond with Martha L De La Torre through the mailing address at 201 S 64TH AVE, PHOENIX, AZ - 85043-3406 (mailing address contact number: 308-207-5148).

Location: 4925 S Broadway Ave # 1044, Wichita, KS, 85043-3406
person
Provider Profile Details
NPI Number
1558937920
Provider Name
Martha L De La Torre
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
4925 S Broadway Ave # 1044, Wichita, KS, 85043-3406
Phone Number
308-207-5148
Fax Number
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4925 S Broadway Ave # 1044
City
State
Zip
67216-3716
Phone Number
308-207-5148
Fax Number
person
Provider Business Mailing Address Details
Address
4925 S Broadway Ave # 1044
City
State
Zip
67216-3716
Phone Number
308-207-5148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3315 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19574 (Arizona)
Definition
Definition to come...
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