Individual
LANETTE GAY LIVINGSTON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED LPC
Contact information
Practice address
1713 E SHERMAN AVE, COEUR D ALENE, ID 83814-5326
(208) 651-0557
Mailing address
6850 SPURWING LOOP APT 202, COEUR D ALENE, ID 83815-7922
(208) 651-0557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3630
ID
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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