Provider Demographics
NPI:1821501081
Name:RAMSDELL, JOHN MARTIN (MA, LMHC, GMHS, CMC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:MARTIN
Last Name:RAMSDELL
Suffix:
Gender:M
Credentials:MA, LMHC, GMHS, CMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 N 148TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6506
Mailing Address - Country:US
Mailing Address - Phone:206-229-3985
Mailing Address - Fax:206-687-7982
Practice Address - Street 1:731 N 148TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-6506
Practice Address - Country:US
Practice Address - Phone:206-229-3985
Practice Address - Fax:206-687-7982
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60325858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health