MEDICARE: RACHELLE ANN RAMOS MS, LMFT

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	106H00000X	Marriage & Family Therapist	LMFT149942

General Provider Information

NPI Number	:	1427878008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE ANN RAMOS MS, LMFT

Provider Business Mailing Address
First Line	:	3288 ADAMS AVE UNIT 161347
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92176-7055
Country	:	US
Telephone Number	:	619-494-1088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4642 BOUNDARY ST UNIT 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-3206
Country	:	US
Telephone Number	:	619-494-1088
Fax Number	:

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

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/18/2024

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