Individual
NIKOLE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, RPT
Contact information
Practice address
156 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 467-7654
(208) 345-3502
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-7024
ID
222Q00000X
Developmental Therapist
LCPC-7024
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13625583
—
ID
Enumeration date
08/31/2015
Last updated
11/28/2023
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