Most Relevant Information
Provider Data
| NPI Number: | 1003443144 |
| Provider Name: | TORREY DAWN COMMISSO LICENSED PROFESSIONA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7733 |
Most Important Dates
| Enumeration Date: | 03/26/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
34092 VIOLET LANTERN
SUITE 100
DANA POINT
CA
92629
Practice Location Phone/Fax
| Phone: | 2066694288 |
| Fax: |
Provider Mailing Location
34092 VIOLET LANTERN
SUITE 100
DANA POINT
CA
92629
Provider Mailing Phone/Fax
| Phone: | 2066694288 |
| Fax: |