Provider Demographics
NPI:1013198373
Name:MORALES, FRANK (CRADC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:CRADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38W247 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-8869
Mailing Address - Country:US
Mailing Address - Phone:847-695-7012
Mailing Address - Fax:815-788-0115
Practice Address - Street 1:101 N VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3426
Practice Address - Country:US
Practice Address - Phone:815-459-0499
Practice Address - Fax:815-788-0115
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL11545101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor