Individual
CHRISTOPHER ALAN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1005 S MERIDIAN ST, LEBANON, IN 46052-2784
(765) 482-7421
(765) 482-7462
Mailing address
947 VOYAGER WAY, LAFAYETTE, IN 47909-8033
(765) 572-2230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003117A
IN
106H00000X
Marriage & Family Therapist
35001034A
IN
Other
Enumeration date
09/20/2006
Last updated
11/05/2009
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