Provider Demographics
NPI:1477753432
Name:RAMIREZ, ROXANNA CLARISSA (EDD, LMFT,LPC)
Entity type:Individual
Prefix:DR
First Name:ROXANNA
Middle Name:CLARISSA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:EDD, LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5068
Mailing Address - Country:US
Mailing Address - Phone:210-450-7090
Mailing Address - Fax:210-450-2460
Practice Address - Street 1:5109 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5068
Practice Address - Country:US
Practice Address - Phone:210-450-7090
Practice Address - Fax:210-450-2460
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4818106H00000X
TX15323101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist