Provider Demographics
NPI:1780601435
Name:RAMUNDA, MONICA (MA, LPC, RPT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:RAMUNDA
Suffix:
Gender:F
Credentials:MA, LPC, RPT
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:RAMUNDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, RPT
Mailing Address - Street 1:706 FRONT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1888
Mailing Address - Country:US
Mailing Address - Phone:720-304-7611
Mailing Address - Fax:303-484-3632
Practice Address - Street 1:706 FRONT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1888
Practice Address - Country:US
Practice Address - Phone:720-304-7611
Practice Address - Fax:303-484-3632
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional