Provider Demographics
NPI:1861797003
Name:RIOS, STEVE (CACIII)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:RIOS
Suffix:
Gender:M
Credentials:CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18021
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-0021
Mailing Address - Country:US
Mailing Address - Phone:720-530-6084
Mailing Address - Fax:
Practice Address - Street 1:7853 E ARAPAHOE CT STE 3550
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6827
Practice Address - Country:US
Practice Address - Phone:303-886-6634
Practice Address - Fax:303-600-6629
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6646101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)