Provider Demographics
NPI:1245750173
Name:JARAMILLO, VERONICA HELEN (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:HELEN
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 CHICOMA RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-2516
Mailing Address - Country:US
Mailing Address - Phone:505-417-1569
Mailing Address - Fax:
Practice Address - Street 1:1931 CHICOMA RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-2516
Practice Address - Country:US
Practice Address - Phone:505-417-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM10089104100000X
NMC-117161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker