Provider Demographics
NPI:1912744228
Name:RIANCHO, VICTORIA CRISTINA (LMHC, CRC, CCTP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CRISTINA
Last Name:RIANCHO
Suffix:
Gender:F
Credentials:LMHC, CRC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S FEDERAL HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4147
Mailing Address - Country:US
Mailing Address - Phone:954-794-6888
Mailing Address - Fax:
Practice Address - Street 1:505 S FEDERAL HWY STE 2
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4147
Practice Address - Country:US
Practice Address - Phone:954-794-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health