Provider Demographics
NPI:1457893901
Name:RAMER, REBECCA J (LMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:RAMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:J
Other - Last Name:RAMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:3131 ADAMS ST NE APT E14
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-8018
Mailing Address - Country:US
Mailing Address - Phone:505-330-0666
Mailing Address - Fax:
Practice Address - Street 1:8200 MOUNTAIN RD NE STE 106
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7835
Practice Address - Country:US
Practice Address - Phone:505-830-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0183581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health