Provider Demographics
NPI:1184465627
Name:MORALES, GABRIEL JOSE (LPC)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:JOSE
Last Name:MORALES
Suffix:
Gender:M
Credentials:LPC
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 41
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-0041
Mailing Address - Country:US
Mailing Address - Phone:787-376-6824
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 41
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00785-0041
Practice Address - Country:US
Practice Address - Phone:787-376-6824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional