Provider Demographics
NPI:1285948232
Name:RAMIREZ, JENNIFFEL (MA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFFEL
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 1:3303 S HALSTED ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6877
Mailing Address - Country:US
Mailing Address - Phone:773-733-1921
Mailing Address - Fax:
Practice Address - Street 1:3303 S HALSTED ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6877
Practice Address - Country:US
Practice Address - Phone:773-733-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional