Provider Demographics
NPI:1497003735
Name:RAMIREZ, MARIA N (MA, LPC, BC-TMH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:N
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, LPC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N19W24400 RIVERWOOD DR STE 350
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1182
Mailing Address - Country:US
Mailing Address - Phone:262-202-1309
Mailing Address - Fax:262-753-1981
Practice Address - Street 1:N19W24400 RIVERWOOD DR STE 350
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1182
Practice Address - Country:US
Practice Address - Phone:262-202-1309
Practice Address - Fax:262-753-1981
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4863-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100035648Medicaid