Provider Demographics
NPI:1609460104
Name:MORALES, BEATRIZ CRISTINA (AAMFT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:CRISTINA
Last Name:MORALES
Suffix:
Gender:F
Credentials:AAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 COPPER DR APT 24
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-4427
Mailing Address - Country:US
Mailing Address - Phone:760-500-4368
Mailing Address - Fax:
Practice Address - Street 1:22445 ALESSANDRO BLVD # 113-114
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8358
Practice Address - Country:US
Practice Address - Phone:951-924-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health