Provider Demographics
NPI:1235362799
Name:RIOS, TAMARA LORENE
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:LORENE
Last Name:RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24464 VIA LAS JUNITAS
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4310
Mailing Address - Country:US
Mailing Address - Phone:951-235-5357
Mailing Address - Fax:
Practice Address - Street 1:24464 VIA LAS JUNITAS
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4310
Practice Address - Country:US
Practice Address - Phone:951-235-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor