Individual ProviderIrenda RiosMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address8058 La Mesa Blvd, La Mesa, CA 91942-0335(858) 848-1766PECOS EnrollmentBased on the most recent information from CMS, provider Irenda Rios does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1154804797Provider TypeIndividualFull NameRios, IrendaGenderFemaleSole ProprietorYesEnumeration Date9/10/2018Last Updated9/10/2018Contact InformationPractice LocationPractice Address8058 La Mesa Blvd, La Mesa, CA 91942-0335Phone(858) 848-1766Fax(619) 463-2622Mailing LocationMailing Address8058 La Mesa Blvd, La Mesa, CA 91942-0335Phone(858) 848-1766Fax(619) 463-2522Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT1045226California