Provider Demographics
NPI:1780412361
Name:MAY, HILLARY (DMFT, LPCC, AMFT)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:DMFT, LPCC, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92223-4073
Mailing Address - Country:US
Mailing Address - Phone:951-845-1631
Mailing Address - Fax:
Practice Address - Street 1:350 W BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:CHERRY VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92223-4073
Practice Address - Country:US
Practice Address - Phone:951-845-1631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16128101YP2500X
CAAMFT142922106H00000X
CALPCC16128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist