Provider Demographics
NPI:1831201490
Name:MORALES, VICTOR MANUEL
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:MANUEL
Last Name:MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29645 18TH AVE S
Mailing Address - Street 2:APT B303
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4285
Mailing Address - Country:US
Mailing Address - Phone:206-212-6781
Mailing Address - Fax:253-589-4042
Practice Address - Street 1:9900 VETERANS DR SW
Practice Address - Street 2:A-116-CWT
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0005
Practice Address - Country:US
Practice Address - Phone:253-583-1634
Practice Address - Fax:253-589-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor