Provider Demographics
NPI:1629468517
Name:RAMOS, JASON PHILO (LPC, PSYD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PHILO
Last Name:RAMOS
Suffix:
Gender:M
Credentials:LPC, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 FINLEY RD
Mailing Address - Street 2:SUITE 168
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8722
Mailing Address - Country:US
Mailing Address - Phone:972-570-9828
Mailing Address - Fax:972-570-9828
Practice Address - Street 1:3317 FINLEY RD
Practice Address - Street 2:SUITE 168
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8722
Practice Address - Country:US
Practice Address - Phone:972-570-9828
Practice Address - Fax:972-570-9828
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
TX68593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral