Provider Demographics
NPI:1316011570
Name:RANSLEY, RICHARD DUNHAM (LPCC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DUNHAM
Last Name:RANSLEY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 W ZIA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5723
Mailing Address - Country:US
Mailing Address - Phone:505-988-4216
Mailing Address - Fax:
Practice Address - Street 1:342 W ZIA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5723
Practice Address - Country:US
Practice Address - Phone:505-988-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM005664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM101559OtherVALUE OPTIONS
NM000N3552Medicaid