Provider Demographics
NPI:1346020930
Name:SORIANO, RAMONA CHRISTINE (DNM, BD, MDIV, CAT)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:CHRISTINE
Last Name:SORIANO
Suffix:
Gender:F
Credentials:DNM, BD, MDIV, CAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 UNION BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1826
Mailing Address - Country:US
Mailing Address - Phone:720-705-0417
Mailing Address - Fax:
Practice Address - Street 1:11920 W ALAMEDA PKWY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2707
Practice Address - Country:US
Practice Address - Phone:720-705-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACA.0007532101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)