Provider Demographics
NPI:1265794028
Name:MORALES, JOANN (LMFT)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 W KEETOOWAH ST
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-3462
Mailing Address - Country:US
Mailing Address - Phone:918-708-3006
Mailing Address - Fax:918-777-9016
Practice Address - Street 1:216 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-3628
Practice Address - Country:US
Practice Address - Phone:580-726-2452
Practice Address - Fax:580-726-2483
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health