| Doctor Name: | CHRISTINA ELLA EMDE RILEY |
| NPI Number: | 1043377120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | LCSW-377 |
| Business Practice Address: | 158 N Orth First East Street Driggs, ID - 83422 |
| Business Phone Number: | 3077307060 |
| Business Fax Number: | 2087875683 |
| Mailing Address: | 163 E 1025 S, VICTOR |
| State: | ID |
| Postal Code: | 834555503 |
| Phone Number: | 3077307060 |
| Fax Number: | 2087875683 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-377 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |