Individual
TINA JORDAN LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 450-6350
(501) 358-4932
Mailing address
309 CLUB LN, CONWAY, AR 72034-6191
(479) 427-0096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0705040
AR
101YP2500X
Professional Counselor
Primary
P1108051
AR
Other
Enumeration date
08/24/2007
Last updated
02/07/2025
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