Provider Demographics
NPI:1396042156
Name:RAMIREZ, GABRIEL ESTEBAN (LMFT)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ESTEBAN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:GABRIEL
Other - Middle Name:ESTEBAN
Other - Last Name:RAMIREZ PENARANDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3321 POWER INN RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3893
Mailing Address - Country:US
Mailing Address - Phone:831-706-0342
Mailing Address - Fax:
Practice Address - Street 1:3321 POWER INN RD STE 120
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3893
Practice Address - Country:US
Practice Address - Phone:916-874-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA106004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist