Individual
DR. ANDREA J. RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D;LPC
Contact information
Practice address
1301 MELODY LN STE B, VALDOSTA, GA 31601
(229) 834-5986
Mailing address
PO BOX 3815, VALDOSTA, GA 31604-3815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548693039
L.E.A.F. THERAPY SERVICES L.L.C.
GA
Enumeration date
06/03/2011
Last updated
06/05/2021
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