Provider Demographics
NPI:1366272874
Name:TORRES, DEBRA KAY (LADC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:TORRES
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:KAY
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LADC
Mailing Address - Street 1:101 21ST ST SE STE 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-4322
Mailing Address - Country:US
Mailing Address - Phone:507-437-6389
Mailing Address - Fax:
Practice Address - Street 1:101 21ST ST SE STE 1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-4322
Practice Address - Country:US
Practice Address - Phone:507-437-6389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303074101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)