Individual
DAVID LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11986 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(612) 900-3472
Mailing address
11986 PORTLAND AVE, BURNSVILLE, MN 55337-1516
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4187
MN
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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