MEDICARE: ANNABELLE RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	106H00000X	Marriage & Family Therapist	118471	CA

General Provider Information

NPI Number	:	1104009349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNABELLE RAMIREZ

Provider Business Mailing Address
First Line	:	8440 N MILLBROOK AVE APT 150
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2159
Country	:	US
Telephone Number	:	559-967-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 W SHAW LN STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2700
Country	:	US
Telephone Number	:	559-256-7658
Fax Number	:	559-256-2205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	10/24/2021

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Directions to “ ANNABELLE RAMIREZ ” Practice Location

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