Provider Demographics
NPI:1568966687
Name:RAMEY, JESSICA
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:RAMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:RAMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90223-0445
Mailing Address - Country:US
Mailing Address - Phone:562-354-3110
Mailing Address - Fax:562-372-4973
Practice Address - Street 1:17326 EDWARDS RD STE 240
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2465
Practice Address - Country:US
Practice Address - Phone:562-354-3110
Practice Address - Fax:562-372-4973
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional