Individual ProviderRoya DedeauxMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5212 Katella Ave, Suite 101, Los Alamitos, CA 90720-2828(562) 480-6369PECOS EnrollmentBased on the most recent information from CMS, provider Roya Dedeaux does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1578944559Provider TypeIndividualFull NameDedeaux, RoyaCredentialM.S., MFT INTERNGenderFemaleSole ProprietorNoEnumeration Date6/15/2015Last Updated6/15/2015Contact InformationPractice LocationPractice Address5212 Katella Ave, Suite 101, Los Alamitos, CA 90720-2828Phone(562) 480-6369FaxUnlisted FaxMailing LocationMailing Address5212 Katella Ave, Suite 101, Los Alamitos, CA 90720-2828Phone(562) 480-6369FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFTI 73122California