Provider Demographics
NPI:1568745867
Name:RIOS, RHONDA SUE (BS, BHCM II)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:SUE
Last Name:RIOS
Suffix:
Gender:F
Credentials:BS, BHCM II
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:SUE
Other - Last Name:KIRKLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS, BHCM II
Mailing Address - Street 1:506 HIGHWAY 271 N
Mailing Address - Street 2:
Mailing Address - City:ANTLERS
Mailing Address - State:OK
Mailing Address - Zip Code:74523-2014
Mailing Address - Country:US
Mailing Address - Phone:580-298-3001
Mailing Address - Fax:580-298-5357
Practice Address - Street 1:506 HIGHWAY 271 N
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2014
Practice Address - Country:US
Practice Address - Phone:580-298-3001
Practice Address - Fax:580-298-5357
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor