Provider Demographics
NPI:1508698606
Name:RIOS, YUDIRIA (LPC-A)
Entity type:Individual
Prefix:
First Name:YUDIRIA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:YUDIRIA
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-A
Mailing Address - Street 1:4614 W HUCKLEBERRY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-1246
Mailing Address - Country:US
Mailing Address - Phone:956-739-2680
Mailing Address - Fax:
Practice Address - Street 1:4614 W HUCKLEBERRY ST APT 1
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-1246
Practice Address - Country:US
Practice Address - Phone:956-739-2680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95092101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional