Individual
IRMARIE DENISE RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5938 W FULLERTON AVE, CHICAGO, IL 60639-2241
(331) 643-8164
Mailing address
909 NORWOOD ST, MELROSE PARK, IL 60160-2243
(708) 843-1534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180010165
IL
Other
Enumeration date
08/23/2016
Last updated
08/21/2023
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