Provider Demographics
NPI:1598168387
Name:MORALES, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
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 1:17521 88TH AVE
Mailing Address - Street 2:APT 6-U
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5758
Mailing Address - Country:US
Mailing Address - Phone:917-287-1581
Mailing Address - Fax:
Practice Address - Street 1:17521 88TH AVE
Practice Address - Street 2:APT 6-U
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5758
Practice Address - Country:US
Practice Address - Phone:917-287-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health