Individual
FAWN RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20600-130
WI
101YP2500X
Professional Counselor
Primary
1028-125
WI
106S00000X
Behavior Technician
RBT-18-58203
WI
Other
Enumeration date
06/27/2018
Last updated
09/08/2025
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