Individual
LISA ELAINE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LADC
Contact information
Practice address
819 30TH AVE S STE 102, MOORHEAD, MN 56560-5000
(218) 979-3560
(218) 284-1080
Mailing address
819 30TH AVE S STE 102, MOORHEAD, MN 56560-5000
(218) 979-3560
(218) 284-1080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1663
MN
Other
Enumeration date
10/15/2018
Last updated
08/03/2023
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