Provider Demographics
NPI:1477825453
Name:RAMPTON, JEREMY (MS)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:RAMPTON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 N LOCUST GROVE RD STE B
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-5924
Mailing Address - Country:US
Mailing Address - Phone:208-918-9198
Mailing Address - Fax:208-914-7641
Practice Address - Street 1:3611 N LOCUST GROVE RD STE B
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5924
Practice Address - Country:US
Practice Address - Phone:208-918-9198
Practice Address - Fax:208-914-7641
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)