Provider Demographics
NPI:1518991694
Name:MORRIS, LOREN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:ANN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:ANN
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 N BROADWAY
Mailing Address - Street 2:SUITE 2H
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-4811
Mailing Address - Country:US
Mailing Address - Phone:209-620-0015
Mailing Address - Fax:209-620-0015
Practice Address - Street 1:125 N BROADWAY
Practice Address - Street 2:SUITE 2H
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4811
Practice Address - Country:US
Practice Address - Phone:209-620-0015
Practice Address - Fax:209-620-0015
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS20220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20-3150255OtherEIN