Provider Demographics
NPI:1952450579
Name:CAMERON, RAYMOND FRANCIS (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:FRANCIS
Last Name:CAMERON
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32605 TEMECULA PKWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6837
Mailing Address - Country:US
Mailing Address - Phone:951-970-6254
Mailing Address - Fax:951-934-6722
Practice Address - Street 1:32605 TEMECULA PKWY
Practice Address - Street 2:SUITE 207
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6837
Practice Address - Country:US
Practice Address - Phone:951-970-6254
Practice Address - Fax:951-934-6722
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist