Provider Demographics
NPI:1558931469
Name:RAMIREZ, TERESA (MFT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 S VIRMARGO ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1311
Mailing Address - Country:US
Mailing Address - Phone:559-736-5057
Mailing Address - Fax:
Practice Address - Street 1:1200 S WOODLAND ST STE C
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4200
Practice Address - Country:US
Practice Address - Phone:559-736-5057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126583106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist