person
Bill Ray Deatherage, PSYD,MFTI
Mental Health Counselor in Santa Ana, California
NPI 1497762660

Bill Ray Deatherage is a Mental Health Counselor based in Aliso Viejo, CA and is specialized in Mental Health. Bill Ray Deatherage practices in Santa Ana, CA and has the professional credentials of PSYD,MFTI. The NPI Number for Bill Ray Deatherage is 1497762660 and holds a License No. S0993236 (California).

The current practice location address for Bill Ray Deatherage is 405 W 5Th St, Santa Ana, CA and can be reached out via phone at 714-834-5015. You can also correspond with Bill Ray Deatherage through the mailing address at 23446 VIA JACINTO, ALISO VIEJO, CA - 92656-1162 (mailing address contact number: 949-586-4634).

Location: 405 W 5Th St, Santa Ana, CA, 92656-1162
person
Provider Profile Details
NPI Number
1497762660
Provider Name
Bill Ray Deatherage
Credential
PSYD,MFTI
Provider Entity Type
Individual
Gender
Male
Address
405 W 5Th St, Santa Ana, CA, 92656-1162
Phone Number
714-834-5015
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
405 W 5Th St
City
State
Zip
92701-4519
Phone Number
714-834-5015
Fax Number
person
Provider Business Mailing Address Details
Address
23446 Via Jacinto
City
State
Zip
92656-1162
Phone Number
949-586-4634
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
S0993236 (California)
Definition
Definition to come...
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