Provider Demographics
NPI:1801688031
Name:RIGGS, ALICIA SUESANNA
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:SUESANNA
Last Name:RIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13660 VIA VARRA APT 219
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-9732
Mailing Address - Country:US
Mailing Address - Phone:720-291-4819
Mailing Address - Fax:
Practice Address - Street 1:300 S JACKSON ST STE 505
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3184
Practice Address - Country:US
Practice Address - Phone:720-291-4819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional