Provider Demographics
NPI:1134870835
Name:KLEMAN, MICHELLE RAMOS (MA, LPC, CSP)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:RAMOS
Last Name:KLEMAN
Suffix:
Gender:F
Credentials:MA, LPC, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5892 E GEDDES PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1501
Mailing Address - Country:US
Mailing Address - Phone:720-530-5843
Mailing Address - Fax:
Practice Address - Street 1:5892 E GEDDES PL
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1501
Practice Address - Country:US
Practice Address - Phone:720-530-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional