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NPI Code Detail

MEDICARE: MR. RICARDO RIOS M.S., MFT-INTERN

MEDICARE: MR. RICARDO RIOS M.S., MFT-INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMI0588NV
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1083015341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICARDO RIOS M.S., MFT-INTERN
Provider Business Mailing Address
First Line : 7580 TOWNSVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3277
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7580 TOWNSVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3277
Country : US
Telephone Number : 702-337-3703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2014
Last Update Date : 08/06/2015

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