Provider Demographics
NPI:1508617770
Name:MORALES, VANESSA ZUNIGA
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:ZUNIGA
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2468 JIMMY TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-8222
Mailing Address - Country:US
Mailing Address - Phone:951-483-9172
Mailing Address - Fax:
Practice Address - Street 1:2468 JIMMY TAYLOR DR
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-8222
Practice Address - Country:US
Practice Address - Phone:951-483-9172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health