Provider Demographics
NPI:1265789606
Name:MORROW, IDALIS KATERIN (LMFT)
Entity type:Individual
Prefix:
First Name:IDALIS
Middle Name:KATERIN
Last Name:MORROW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:IDALIS
Other - Middle Name:K
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 6234
Mailing Address - Street 2:
Mailing Address - City:MARCH ARB
Mailing Address - State:CA
Mailing Address - Zip Code:92518-0234
Mailing Address - Country:US
Mailing Address - Phone:909-353-4031
Mailing Address - Fax:
Practice Address - Street 1:3200 E GUASTI RD STE 100
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8661
Practice Address - Country:US
Practice Address - Phone:909-248-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist