Provider Demographics
NPI:1083915169
Name:RIOS, YVONNE MARIE (BA)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:RIOS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 PARKMOOR AVE APT 241
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2432
Mailing Address - Country:US
Mailing Address - Phone:408-294-0500
Mailing Address - Fax:408-294-2451
Practice Address - Street 1:1245 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-2337
Practice Address - Country:US
Practice Address - Phone:408-294-0500
Practice Address - Fax:408-294-2451
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor