Provider Demographics
NPI:1437644945
Name:BRIGGS, CHRISTOPHER ANDRE' (MA, TLLP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ANDRE'
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MA, TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5182 N PEAK ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49004-2149
Mailing Address - Country:US
Mailing Address - Phone:269-207-5917
Mailing Address - Fax:
Practice Address - Street 1:5182 N PEAK ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49004-2149
Practice Address - Country:US
Practice Address - Phone:269-207-5917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017426103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical