Provider Demographics
NPI:1275811663
Name:MORALES, MARIA JOSE
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JOSE
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 1:20 RIVERSIDE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1699
Mailing Address - Country:US
Mailing Address - Phone:508-573-4844
Mailing Address - Fax:508-573-4833
Practice Address - Street 1:20 RIVERSIDE DR STE 102
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1699
Practice Address - Country:US
Practice Address - Phone:508-573-4844
Practice Address - Fax:508-573-4833
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health