Provider Demographics
NPI:1811320252
Name:RAMIREZ, ARACELI (DSW, MS, LMFT)
Entity type:Individual
Prefix:DR
First Name:ARACELI
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DSW, MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 ADAMS ST STE B30-6
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-4398
Mailing Address - Country:US
Mailing Address - Phone:951-855-9369
Mailing Address - Fax:
Practice Address - Street 1:2900 ADAMS ST STE B30-6
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-4398
Practice Address - Country:US
Practice Address - Phone:951-855-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 390200000X
CA114814106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program