Provider Demographics
NPI:1164174538
Name:RAMIREZ-VALLES, GABRIELA LUCIA (LPCC)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:LUCIA
Last Name:RAMIREZ-VALLES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:L
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9251 EAGLE RANCH RD NW APT 1522
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6057
Mailing Address - Country:US
Mailing Address - Phone:575-637-2426
Mailing Address - Fax:
Practice Address - Street 1:6612 GULTON CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4407
Practice Address - Country:US
Practice Address - Phone:505-888-1686
Practice Address - Fax:505-888-1683
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0219731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional