Individual provider · Type 1 NPI

Bill Ray Deatherage, PSY.D., MFTI

Mental Health Counselor · Santa Ana, CA

NPI number 1497762660 Active

Practice location

405 W 5th St, Suite 590
Santa Ana, CA 92701-4519

Mailing address

23446 Via Jacinto
Aliso Viejo, CA 92656-1162

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XS0993236 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1497762660

Bill Ray Deatherage, PSY.D., MFTI's National Provider Identifier is 1497762660, issued on Aug 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 8, 2007.