Provider Demographics
NPI:1548431034
Name:RAMIREZ, CHRISTINA MARIE (LLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:LESNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7761 DRAKESHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALMONT
Mailing Address - State:MI
Mailing Address - Zip Code:48003-8799
Mailing Address - Country:US
Mailing Address - Phone:810-252-3412
Mailing Address - Fax:
Practice Address - Street 1:25975 N KNOLLWOOD DR
Practice Address - Street 2:STE D
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48051-2632
Practice Address - Country:US
Practice Address - Phone:586-598-1010
Practice Address - Fax:586-598-1919
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical