| Doctor Name: | BRENDA MARTINEZ RIOS |
| NPI Number: | 1043651524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1461 E Cooley Dr Ste 100 Colton, CA - 923243921 |
| Business Phone Number: | 9098097337 |
| Business Fax Number: | |
| Mailing Address: | 3611 S Harbor Blvd Ste 100, SANTA ANA |
| State: | CA |
| Postal Code: | 927047915 |
| Phone Number: | 7149668670 |
| Fax Number: | 7144340559 |
| NPI Enumeration Date: | 07/11/2013 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |