=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982690228
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CRISTOBAL RAMIREZ LPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2005
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10921 PELLICANO DR STE 118
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79935-4604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-778-4243
-----------------------------------------------------
Fax | 915-778-4244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10921 PELLICANO DR STE 118
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79935-4604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-778-4243
-----------------------------------------------------
Fax | 915-778-4244
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 17090
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 17090
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------