Provider Demographics
NPI:1174789457
Name:MORAGO, CANDACE (MSW)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:
Last Name:MORAGO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4985 BATTLE CREEK RD SE STE 102
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-9618
Mailing Address - Country:US
Mailing Address - Phone:541-990-1898
Mailing Address - Fax:
Practice Address - Street 1:4985 BATTLE CREEK RD SE STE 102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-9618
Practice Address - Country:US
Practice Address - Phone:541-990-1898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health