| Doctor Name: | RAYMOND BERNARD SAULSBERRY |
| NPI Number: | 1194866384 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | COUNSELOR |
| License Number: | S0408271758 |
| Business Practice Address: | 15229 Amar Rd La Puente, CA - 917442066 |
| Business Phone Number: | 6268555090 |
| Business Fax Number: | 6269611810 |
| Mailing Address: | 432 S New Hampshire Ave, 510 LOS ANGELES |
| State: | CA |
| Postal Code: | 900201947 |
| Phone Number: | 2133828316 |
| Fax Number: | 6269611810 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | S0408271758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |