Provider Demographics
NPI:1871371773
Name:WATSON-RAMOS, CARISSA DAWN (LCSW)
Entity type:Individual
Prefix:
First Name:CARISSA
Middle Name:DAWN
Last Name:WATSON-RAMOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 HARMON DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2455
Mailing Address - Country:US
Mailing Address - Phone:832-795-8325
Mailing Address - Fax:
Practice Address - Street 1:1956 HARMON DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2455
Practice Address - Country:US
Practice Address - Phone:832-795-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health