person
Mr. Anthony Nathan Riske, MFTC
Professional Counselor in Lafayette, Colorado
NPI 1962165340

Anthony Nathan Riske is a Professional Counselor based in Lafayette, CO and is specialized in Professional. Anthony Nathan Riske practices in Lafayette, CO and has the professional credentials of MFTC. The NPI Number for Anthony Nathan Riske is 1962165340 and holds a License No. 0013863 (Colorado).

The current practice location address for Anthony Nathan Riske is 1359 Agape Way, Lafayette, CO and can be reached out via phone at 810-691-6689.

Location: 1359 Agape Way, Lafayette, CO, 80026-1487
person
Provider Profile Details
NPI Number
1962165340
Provider Name
Anthony Nathan Riske
Credential
MFTC
Provider Entity Type
Individual
Gender
Male
Address
1359 Agape Way, Lafayette, CO, 80026-1487
Phone Number
810-691-6689
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-2340136 01 CO IRS
institution
Provider Business Practice Location Address Details
Address
1359 Agape Way
City
State
Zip
80026-1487
Phone Number
810-691-6689
Fax Number
person
Provider Business Mailing Address Details
Address
1359 Agape Way
City
State
Zip
80026-1487
Phone Number
810-691-6689
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0013863 (Colorado)
Definition
Definition to come...
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