Basic Information
| Provider Information | |||||||||
| NPI: | 1780726737 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLORES RIOS | ||||||||
| FirstName: | NICOLAS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | ACSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 PARMAC RD STE 1 | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262294 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5306935115 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 592 RIO LINDO AVE | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959261817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308912810 | ||||||||
| FaxNumber: | 5308956548 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2007 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | ACSW 19879 | CA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 84075 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 101YM0800X | ACSW 19879 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.