Individual
RAQUEL RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
13549 N SANDERS RD, MARANA, AZ 85653-9505
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC11676
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC10408
AZ
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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