Individual
LINDA SUSAN REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II, ATP
Contact information
Practice address
1432 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3808
(970) 945-7858
Mailing address
1065 A GAGE RD, RIFLE, CO 81650
(970) 989-3800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007544
CO
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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