Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1174966279 |
---|---|
Provider Name | Melisa Alonzo Ramirez |
First Address | Chula Vista, CA 91911-3103 |
Second Address | Chula Vista, CA 91911-3103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 21/07/2020 |