Provider Demographics
NPI:1467605121
Name:RAMIREZ, JILL J (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:J
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:J
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:P.O. BOX 6485
Mailing Address - Street 2:1218 GRIEGOS, N.W.
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107
Mailing Address - Country:US
Mailing Address - Phone:505-345-8471
Mailing Address - Fax:505-342-5414
Practice Address - Street 1:1218 GRIEGOS, N.W.
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-345-8471
Practice Address - Fax:505-342-5414
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0117401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health