Provider Demographics
NPI:1568077899
Name:CORREIA, RAMIRO FURTADO (LPC, LCADC)
Entity Type:Individual
Prefix:MR
First Name:RAMIRO
Middle Name:FURTADO
Last Name:CORREIA
Suffix:
Gender:M
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 SUMMER AVE APT 403
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-2934
Mailing Address - Country:US
Mailing Address - Phone:917-704-6939
Mailing Address - Fax:
Practice Address - Street 1:482 SUMMER AVE APT 403
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-2934
Practice Address - Country:US
Practice Address - Phone:917-704-6939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional