Provider Demographics
NPI:1144716226
Name:TORRES-GARCIA, JESSICA (LPCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:TORRES-GARCIA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:TORRES
Other - Last Name:KREIDT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:12514 MORNING GLORY DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-1555
Mailing Address - Country:US
Mailing Address - Phone:714-319-8603
Mailing Address - Fax:
Practice Address - Street 1:12514 MORNING GLORY DR
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-1555
Practice Address - Country:US
Practice Address - Phone:714-319-8603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional