Healthcare Provider Details

I. General information

NPI: 1801540075
Provider Name (Legal Business Name): MISS MARIA GUADALUPE MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 CALIFORNIA ST APT B
SALINAS CA
93901-3584
US

IV. Provider business mailing address

PO BOX 5431
SALINAS CA
93915-5431
US

V. Phone/Fax

Practice location:
  • Phone: 831-789-4379
  • Fax:
Mailing address:
  • Phone: 831-789-4379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: