Provider Demographics
NPI:1386805596
Name:GARRETSON, RAMONA MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:MARIE
Last Name:GARRETSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28546 OAKHURST WAY
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2532
Mailing Address - Country:US
Mailing Address - Phone:951-775-6280
Mailing Address - Fax:951-491-0957
Practice Address - Street 1:28546 OAKHURST WAY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-2532
Practice Address - Country:US
Practice Address - Phone:951-775-6280
Practice Address - Fax:951-491-0957
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003043OtherLICENSED PROFESSIONAL COUNSELOR