Individual
HOLLY LYNETTE LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
407 S 2ND AVE # 1, SIOUX FALLS, SD 57104-6903
(712) 476-5245
(712) 476-9621
Mailing address
407 S 2ND AVE # 1, SIOUX FALLS, SD 57104-6903
(605) 214-6855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001329
IA
106H00000X
Marriage & Family Therapist
Primary
LPC-MH30594
SD
Other
Enumeration date
09/28/2010
Last updated
04/09/2020
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