Provider Demographics
NPI:1083439368
Name:RAMIREZ, ANTONIA (MA MFTC, LPCC)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA MFTC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7944 WYANDOT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-3866
Mailing Address - Country:US
Mailing Address - Phone:720-275-7449
Mailing Address - Fax:
Practice Address - Street 1:9351 GRANT ST STE 480
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4375
Practice Address - Country:US
Practice Address - Phone:720-577-5662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014638106H00000X
COLPCC.0021946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional