Provider Demographics
NPI:1518493188
Name:RAMAKER, JOHANNAH (MA LMHC)
Entity Type:Individual
Prefix:
First Name:JOHANNAH
Middle Name:
Last Name:RAMAKER
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 HOLLOWTREE CT
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-5074
Mailing Address - Country:US
Mailing Address - Phone:269-599-6418
Mailing Address - Fax:
Practice Address - Street 1:6 E 67TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3581
Practice Address - Country:US
Practice Address - Phone:269-599-6418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002640A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health