Provider Demographics
NPI:1568610509
Name:MORALEZ, REBECCA JOANNE
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JOANNE
Last Name:MORALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JOANNE
Other - Last Name:LOUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:181 E SHASTA AVE
Mailing Address - Street 2:#125
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0523
Mailing Address - Country:US
Mailing Address - Phone:530-354-1285
Mailing Address - Fax:
Practice Address - Street 1:107 PARMAC RD
Practice Address - Street 2:2
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2298
Practice Address - Country:US
Practice Address - Phone:530-891-2784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)