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Individual

ALLEN JAY RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, AMFT

Contact information

Practice address
51 ZACA LN STE 100, SAN LUIS OBISPO, CA 93401-7353
(805) 781-6400
Mailing address
51 ZACA LN STE 100, SAN LUIS OBISPO, CA 93401-7353
(805) 781-6400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
119045
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/02/2019
Last updated
04/06/2022
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