Individual provider · Type 1 NPI

Reyna De la Torre

Mental Health Counselor · Libertyville, IL

NPI number 1790503670 Active

Practice location

1113 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3759

Fax (847) 748-0341

Mailing address

1113 S Milwaukee Ave Fl 1041
Libertyville, IL 60048-3758

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790503670

Reyna De la Torre's National Provider Identifier is 1790503670, issued on Sep 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Libertyville, IL. The record was last updated on Sep 30, 2024.