Provider Demographics
NPI:1497003735
Name:RAMIREZ WALTER, MARIA N (MA, LPC, BC-TMH)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:N
Last Name:RAMIREZ WALTER
Suffix:
Gender:F
Credentials:MA, LPC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 NIAGARA RD
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-6413
Mailing Address - Country:US
Mailing Address - Phone:262-202-1309
Mailing Address - Fax:262-214-0760
Practice Address - Street 1:1099 QUAIL CT STE 201
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-3747
Practice Address - Country:US
Practice Address - Phone:262-202-1309
Practice Address - Fax:262-214-0760
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4863-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100035648Medicaid