| Doctor Name: | MRS. JILL NONE DEMOS |
| NPI Number: | 1205091790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY 15732 |
| Business Practice Address: | 24050 Christmas Tree Lane Perris, CA - 92570 |
| Business Phone Number: | 9516574096 |
| Business Fax Number: | 9516578710 |
| Mailing Address: | Po Box 279, PERRIS |
| State: | CA |
| Postal Code: | 925720279 |
| Phone Number: | 9516574096 |
| Fax Number: | 9516578710 |
| NPI Enumeration Date: | 07/23/2008 |
| NPI Last Update Date: | 07/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PSY 15732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |