Individual
MR. CHARLES CLAY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
471 W SOUTH ST, 41-C, KALAMAZOO, MI 49007
(269) 226-2623
(269) 226-2622
Mailing address
2121 KENWOOD ST, KALAMAZOO, MI 49006-3035
(269) 344-0331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005851
MI
1041C0700X
Clinical Social Worker
6801065088
MI
Other
Enumeration date
08/29/2006
Last updated
09/11/2025
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