Provider Demographics
NPI:1023394517
Name:MORALES-DE JESUS, NAIREM ANIKAIRE (MA, MFT I)
Entity Type:Individual
Prefix:
First Name:NAIREM
Middle Name:ANIKAIRE
Last Name:MORALES-DE JESUS
Suffix:
Gender:F
Credentials:MA, MFT I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 AVE. MUNOZ RIVERA
Mailing Address - Street 2:SUITE 903
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2724
Mailing Address - Country:US
Mailing Address - Phone:787-981-4396
Mailing Address - Fax:
Practice Address - Street 1:1007 AVE. MUNOZ RIVERA
Practice Address - Street 2:903
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2724
Practice Address - Country:US
Practice Address - Phone:787-981-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health