Healthcare Provider Details

I. General information

NPI: 1972488336
Provider Name (Legal Business Name): GENESIS ARELY RAMIREZ MSC, PPSC, AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 CROWLEY AVE
PITTSBURG CA
94565-4763
US

IV. Provider business mailing address

2305 DALLAS CT
ANTIOCH CA
94509-5711
US

V. Phone/Fax

Practice location:
  • Phone: 925-473-2460
  • Fax:
Mailing address:
  • Phone: 925-775-8608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: