Provider Demographics
NPI:1396991626
Name:RIOS, VERONICA (M ED, LMHC)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:M ED, LMHC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1857
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-6457
Mailing Address - Country:US
Mailing Address - Phone:509-851-5057
Mailing Address - Fax:509-769-5219
Practice Address - Street 1:925 STEVENS DR STE 3B
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3523
Practice Address - Country:US
Practice Address - Phone:509-851-5057
Practice Address - Fax:509-769-5219
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60152877101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH60152877OtherWASHINGTON STATE DEPARTMENT OF HEALTH