BILL RAY DEATHERAGE

SANTA ANA, CA
NPI1497762660
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  S0993236)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- BILL RAY DEATHERAGE Psy.D., MFTI
405 W 5TH ST SUITE 590
SANTA ANA, CA 92701-4519
Phone number: 714-834-5015
Mailing Address
-- BILL RAY DEATHERAGE Psy.D., MFTI
23446 VIA JACINTO
ALISO VIEJO, CA 92656-1162
Phone number: 949-586-4634
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