Provider Demographics
NPI:1336660992
Name:RAMOS VERGARA, JARED ANAMIN (MS)
Entity type:Individual
Prefix:MISS
First Name:JARED
Middle Name:ANAMIN
Last Name:RAMOS VERGARA
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 HAZELWOOD CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-2132
Mailing Address - Country:US
Mailing Address - Phone:415-517-1758
Mailing Address - Fax:
Practice Address - Street 1:26 HAZELWOOD CT
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-2132
Practice Address - Country:US
Practice Address - Phone:415-517-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist