Provider Demographics
NPI:1740052224
Name:RAMIREZ, OLIVIA (MA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19345 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8335
Mailing Address - Country:US
Mailing Address - Phone:815-931-3999
Mailing Address - Fax:
Practice Address - Street 1:3265 N ARLINGTON HEIGHTS RD STE 301
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1533
Practice Address - Country:US
Practice Address - Phone:815-526-3750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor