Provider Demographics
NPI:1578089330
Name:RIFFE, CHRISTINA (LCDC II)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:RIFFE
Suffix:
Gender:F
Credentials:LCDC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 E BUCHTEL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2338
Mailing Address - Country:US
Mailing Address - Phone:305-358-1163
Mailing Address - Fax:
Practice Address - Street 1:1 E WILLARD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1155
Practice Address - Country:US
Practice Address - Phone:567-424-6412
Practice Address - Fax:567-424-6525
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161349101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)