Provider Demographics
NPI:1073265708
Name:JOHANNES, ASHLEY NAOMI ELIZABETH
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NAOMI ELIZABETH
Last Name:JOHANNES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:NAOMI ELIZABETH
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3334 W CALDWELL AVE APT 72
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8201
Mailing Address - Country:US
Mailing Address - Phone:559-723-9794
Mailing Address - Fax:
Practice Address - Street 1:3334 W CALDWELL AVE APT 72
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8201
Practice Address - Country:US
Practice Address - Phone:559-723-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical