Healthcare Provider Details

I. General information

NPI: 1013848522
Provider Name (Legal Business Name): ACXELL F RAMIREZ SUD COUNSELOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 44
CALIPATRIA CA
92233-0044
US

IV. Provider business mailing address

PO BOX 44
CALIPATRIA CA
92233-0044
US

V. Phone/Fax

Practice location:
  • Phone: 442-370-9644
  • Fax:
Mailing address:
  • Phone: 442-370-9644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: