Provider Demographics
NPI:1750017562
Name:GUIDER, CHRISTOPHER (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:GUIDER
Suffix:
Gender:M
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SAN MATEO BLVD NE STE 100
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3166
Mailing Address - Country:US
Mailing Address - Phone:505-884-0146
Mailing Address - Fax:505-884-2004
Practice Address - Street 1:2800 SAN MATEO BLVD NE STE 100
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3166
Practice Address - Country:US
Practice Address - Phone:505-884-0146
Practice Address - Fax:505-884-2004
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2022-0304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health