Provider Demographics
NPI:1912063520
Name:RIOS, CYNTHIA SUSAN (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SUSAN
Last Name:RIOS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7812 MORRIS RIPPEL PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-2702
Mailing Address - Country:US
Mailing Address - Phone:505-280-8976
Mailing Address - Fax:505-821-0567
Practice Address - Street 1:5712 OSUNA RD NE
Practice Address - Street 2:SUITE 5
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2566
Practice Address - Country:US
Practice Address - Phone:505-280-8976
Practice Address - Fax:505-821-0567
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional