Provider Demographics
NPI:1053132589
Name:RAMIREZ, SELENA CHRISTINE (AMFT)
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:CHRISTINE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10433 ENLOE ST
Mailing Address - Street 2:
Mailing Address - City:S EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-2143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10433 ENLOE ST
Practice Address - Street 2:
Practice Address - City:S EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-2143
Practice Address - Country:US
Practice Address - Phone:626-510-0390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist