Provider Demographics
NPI:1003008442
Name:MORALES REDMON, CYPRESS J (MFCC)
Entity Type:Individual
Prefix:MRS
First Name:CYPRESS
Middle Name:J
Last Name:MORALES REDMON
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 SOQUEL DR. SUITE #550
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073
Mailing Address - Country:US
Mailing Address - Phone:831-475-4508
Mailing Address - Fax:831-335-4374
Practice Address - Street 1:5905 SOQUEL DR STE 550
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-2861
Practice Address - Country:US
Practice Address - Phone:831-475-4508
Practice Address - Fax:831-335-4374
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31371171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator