Provider Demographics
NPI:1134341951
Name:RAMIREZ, AIDA ARACELI
Entity type:Individual
Prefix:MS
First Name:AIDA
Middle Name:ARACELI
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1993
Mailing Address - Street 2:313 WADSWORTH CIRCLE
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80502-1993
Mailing Address - Country:US
Mailing Address - Phone:303-774-9433
Mailing Address - Fax:
Practice Address - Street 1:529 COFFMAN STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501
Practice Address - Country:US
Practice Address - Phone:303-245-4431
Practice Address - Fax:303-245-4459
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health