Individual
PHILLIP RIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPSS-TRIGFV
Contact information
Practice address
44199 MONROE ST STE B, INDIO, CA 92201-3094
(760) 863-8047
Mailing address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 690-9883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1454361221
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
R1454361221
CA
Other
Enumeration date
11/15/2022
Last updated
02/03/2026
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