Provider Demographics
NPI:1750142543
Name:RAMIREZ, RICARDO AMADOR (MHC)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:AMADOR
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MHC
Other - Prefix:MR
Other - First Name:RICARDO
Other - Middle Name:AMADOR
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC
Mailing Address - Street 1:3593 W 11TH PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-2047
Mailing Address - Country:US
Mailing Address - Phone:509-713-9462
Mailing Address - Fax:509-713-9462
Practice Address - Street 1:3593 W 11TH PL
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2047
Practice Address - Country:US
Practice Address - Phone:509-713-9462
Practice Address - Fax:509-713-9462
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61490297175T00000X
WACG61492097175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist