Healthcare Provider Details

I. General information

NPI: 1770969818
Provider Name (Legal Business Name): STEFANI S. RIOS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 NORCROSS LN
OAKLEY CA
94561-2189
US

IV. Provider business mailing address

PO BOX 1152
OAKLEY CA
94561-1152
US

V. Phone/Fax

Practice location:
  • Phone: 925-222-5816
  • Fax:
Mailing address:
  • Phone: 925-222-5816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT155259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: