Provider Demographics
NPI:1164733572
Name:RIEDER, CHRISTOPHER PETER (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PETER
Last Name:RIEDER
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 HORIZON DR STE 225
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8743
Mailing Address - Country:US
Mailing Address - Phone:706-837-1319
Mailing Address - Fax:
Practice Address - Street 1:395 E LIONSHEAD CIR
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5354
Practice Address - Country:US
Practice Address - Phone:970-476-0930
Practice Address - Fax:970-476-0535
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5851101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional