Provider Demographics
NPI:1801540075
Name:MORALES, MARIA GUADALUPE
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:GUADALUPE
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:PO BOX 5431
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93915-5431
Mailing Address - Country:US
Mailing Address - Phone:831-789-4379
Mailing Address - Fax:
Practice Address - Street 1:207 CALIFORNIA ST APT B
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3584
Practice Address - Country:US
Practice Address - Phone:831-789-4379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA98789410D65068OtherMEDICAL