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Mr. Ronald Kenrick Lyde
Mental Health Counselor in Anaheim, California
NPI 1043338791

Ronald Kenrick Lyde is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Ronald Kenrick Lyde practices in Anaheim, CA. The NPI Number for Ronald Kenrick Lyde is 1043338791 and holds a License No. 13811 (California).

The current practice location address for Ronald Kenrick Lyde is 2035 E Ball Rd Ste 200, Anaheim, CA and can be reached out via phone at 714-517-6300.

Location: 2035 E Ball Rd Ste 200, Anaheim, CA, 92507-7418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043338791
Provider Name
Ronald Kenrick Lyde
Credential
Provider Entity Type
Individual
Gender
Male
Address
2035 E Ball Rd Ste 200, Anaheim, CA, 92507-7418
Phone Number
714-517-6300
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2035 E Ball Rd Ste 200
City
Anaheim
State
California
Zip
92806-5157
Phone Number
714-517-6300
Fax Number
person
Provider Business Mailing Address Details
Address
2035 E Ball Rd Ste 200
City
Anaheim
State
California
Zip
92806-5157
Phone Number
714-517-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
13811 (California)
Definition
Definition to come...
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