Provider Demographics
NPI:1184815623
Name:RAMIREZ, EMILIA JANINE (MA, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:EMILIA
Middle Name:JANINE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MS
Other - First Name:EMILIA
Other - Middle Name:JANINE
Other - Last Name:CHACON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:6231 NACIONAL RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6175
Mailing Address - Country:US
Mailing Address - Phone:505-967-7528
Mailing Address - Fax:
Practice Address - Street 1:7 SAN JOSE
Practice Address - Street 2:
Practice Address - City:LAGUNA
Practice Address - State:NM
Practice Address - Zip Code:87026-5026
Practice Address - Country:US
Practice Address - Phone:505-552-5666
Practice Address - Fax:505-552-6387
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM03-115371-00-2101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health