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NPI Code Detail

MEDICARE: DIVINA MARIE RAMOS LPCC

MEDICARE: DIVINA MARIE RAMOS LPCC
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
1101YP2500XProfessional Counselor0124201NM

General Provider Information

NPI Number : 1285844373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIVINA MARIE RAMOS LPCC
Provider Business Mailing Address
First Line : 2260 STONE PINE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-6195
Country : US
Telephone Number : 575-571-7449
Fax Number :
Provider Business Practice Location Address
First Line : 2260 STONE PINE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-6195
Country : US
Telephone Number : 575-571-7449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 01/08/2016

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Directions to “ DIVINA MARIE RAMOS LPCC” Practice Location

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