Provider Demographics
NPI:1942421854
Name:SALCIDO, RAY ALAN (LCSW)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:ALAN
Last Name:SALCIDO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25283 CABOT ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-452-0077
Mailing Address - Fax:949-452-0022
Practice Address - Street 1:25283 CABOT ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-452-0077
Practice Address - Fax:949-452-0022
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS15405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional