Provider Demographics
NPI:1003252263
Name:MUZQUIZ, RAMONA (MS, MFT-I, LADC)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:
Last Name:MUZQUIZ
Suffix:
Gender:F
Credentials:MS, MFT-I, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5280
Mailing Address - Country:US
Mailing Address - Phone:702-369-4357
Mailing Address - Fax:702-863-2160
Practice Address - Street 1:1640 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5280
Practice Address - Country:US
Practice Address - Phone:702-369-4357
Practice Address - Fax:702-836-2160
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health