Provider Demographics
NPI:1760694608
Name:RAMIRREZ, ISELA LOZANO (LMFT, LPC, SCH PSY)
Entity Type:Individual
Prefix:MS
First Name:ISELA
Middle Name:LOZANO
Last Name:RAMIRREZ
Suffix:
Gender:F
Credentials:LMFT, LPC, SCH PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6504 MAJESTIC RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7432
Mailing Address - Country:US
Mailing Address - Phone:915-356-8635
Mailing Address - Fax:
Practice Address - Street 1:6504 MAJESTIC RIDGE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7432
Practice Address - Country:US
Practice Address - Phone:915-356-8635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103TS0200X
TX1218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool