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NPI Code Detail

MEDICARE: ELIZABETH D. MORALES

MEDICARE: ELIZABETH D. MORALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist
2225400000XRehabilitation Practitioner
3390200000XStudent in an Organized Health Care Education/Training Program
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1104110733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH D. MORALES
Provider Business Mailing Address
First Line : 441 TECATE RD UNIT 669
Second Line :
City : TECATE
State : CA
Zip : 91980-2427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 BIRCH ST STE 3000
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2140
Country : US
Telephone Number : 877-421-1711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 11/26/2024

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Directions to “ ELIZABETH D. MORALES ” Practice Location

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