Raymond Edward Killips, MFT
Individual provider Active NPI Marriage & Family Therapist · Descanso, CA
NPI 1962834028 · NPPES record last updated Jul 31, 2013
Key facts
- NPI
- 1962834028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 52482 (CA)
- Practice address
- 23981 Sherilton Valley Rd
Descanso, CA 91916-9740 - Phone
- (619) 445-0405
- NPI assigned
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52482 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52482 | CA | Yes |
Addresses
Primary practice location
23981 Sherilton Valley Rd
Descanso, CA 91916-9740
Mailing address
382 N Cuyamaca St
El Cajon, CA 92020-3010
Other providers in Descanso, CA
- Marcella Araiza
- Jeannine Louise-Wisniew Colwell
- Claudia Cortez
- Jennifer Katherine Monsees
- Carly Noell Namhie
- John Elmer Southward
- Annette Lynn Vaughan
All providers in Descanso, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.