Provider Demographics
NPI:1275254385
Name:CHRISTOPHER L. WILGERS PHD. PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER L. WILGERS PHD. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:970-613-4173
Mailing Address - Street 1:2629 REDWING RD. STE 316
Mailing Address - Street 2:SUITE 316
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526
Mailing Address - Country:US
Mailing Address - Phone:970-613-4173
Mailing Address - Fax:970-829-4283
Practice Address - Street 1:2629 REDWING RD.
Practice Address - Street 2:SUITE 316
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526
Practice Address - Country:US
Practice Address - Phone:970-613-4173
Practice Address - Fax:970-829-4283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty