Provider Demographics
NPI:1023669496
Name:RAMIREZ, AIRKA ASHLEY (MA, LPC)
Entity type:Individual
Prefix:
First Name:AIRKA
Middle Name:ASHLEY
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 SW KECK DR # 605
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-6691
Mailing Address - Country:US
Mailing Address - Phone:971-716-1992
Mailing Address - Fax:
Practice Address - Street 1:637 SW KECK DR # 605
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6691
Practice Address - Country:US
Practice Address - Phone:971-716-1992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC7702101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health