Provider Demographics
NPI:1275573057
Name:LEDESMA, RAMON GALINDO (MED, LMHC)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:GALINDO
Last Name:LEDESMA
Suffix:
Gender:M
Credentials:MED, LMHC
Other - Prefix:MR
Other - First Name:RAMON
Other - Middle Name:GALINDO
Other - Last Name:LEDESMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LMHC
Mailing Address - Street 1:19916 SERENE LN
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-7689
Mailing Address - Country:US
Mailing Address - Phone:425-890-1568
Mailing Address - Fax:
Practice Address - Street 1:19916 SERENE LN
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-7689
Practice Address - Country:US
Practice Address - Phone:425-890-1568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALMHC # LH00009155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health