Provider Demographics
NPI:1659188597
Name:MORALES, RAYMOND (LPC)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:RAYMOND
Other - Middle Name:
Other - Last Name:MORALES-ORTIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:AD10 CALLE TIJUANA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4717
Mailing Address - Country:US
Mailing Address - Phone:787-396-2966
Mailing Address - Fax:787-946-4024
Practice Address - Street 1:1007 AVE MUNOZ RIVERA APT 704
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2723
Practice Address - Country:US
Practice Address - Phone:787-396-2966
Practice Address - Fax:787-946-4024
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4060101Y00000X, 101YM0800X, 106H00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist