Provider Demographics
NPI:1871066118
Name:RAMOS, VINCENT JOSE JR (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:JOSE
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:MA, LPC
Other - Prefix:MR
Other - First Name:VINCENTE
Other - Middle Name:JOSE
Other - Last Name:RAMOS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:6418 ECKHERT RD APT 2101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3087
Mailing Address - Country:US
Mailing Address - Phone:210-605-0881
Mailing Address - Fax:
Practice Address - Street 1:9846 LORENE LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4438
Practice Address - Country:US
Practice Address - Phone:830-730-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77676101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275903569Medicaid