Individual
MEGAN ELIZABETH LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
40 ELMONT RD, ELMONT, NY 11003-1603
(516) 437-0440
(515) 326-1159
Mailing address
40 ELMONT RD, ELMONT, NY 11003-1603
(516) 437-0440
(515) 326-1159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8160
NY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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