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NPI Code Detail

MEDICARE: MR. JUAN MORALES JR. M.S., MHC

MEDICARE: MR. JUAN MORALES JR. M.S., MHC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1518415686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUAN MORALES JR. M.S., MHC
Provider Business Mailing Address
First Line : 2010 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-3423
Country : US
Telephone Number : 305-642-7600
Fax Number :
Provider Business Practice Location Address
First Line : 2010 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-3423
Country : US
Telephone Number : 305-642-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/16/2016

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