Provider Demographics
NPI:1770012221
Name:RAYNOR, ROSALIND SHEILA
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:SHEILA
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSALIND
Other - Middle Name:SHEILA
Other - Last Name:RAYNOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4900 CANADA VALLEY RD APT 114
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8156
Mailing Address - Country:US
Mailing Address - Phone:925-238-4259
Mailing Address - Fax:
Practice Address - Street 1:GOLDEN HILLS COUNSELING CENTER
Practice Address - Street 2:2401 SHADY WILLOW LN.
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513
Practice Address - Country:US
Practice Address - Phone:925-516-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)