Provider Demographics
NPI:1043932627
Name:TORRIES, BRANDON (COUNSELING INTERN)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:TORRIES
Suffix:
Gender:M
Credentials:COUNSELING INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 W MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-4787
Mailing Address - Country:US
Mailing Address - Phone:580-606-6719
Mailing Address - Fax:580-606-6834
Practice Address - Street 1:1076 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4787
Practice Address - Country:US
Practice Address - Phone:580-606-6719
Practice Address - Fax:580-606-6834
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program