Individual
DR. MARK ALLEN LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
2205 CONNECTICUT AVE, JOPLIN, MO 64804-3021
(417) 782-1290
(417) 782-1290
Mailing address
2205 CONNECTICUT AVE, JOPLIN, MO 64804-3021
(417) 782-1290
(417) 782-1290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000815
MO
101YP2500X
Professional Counselor
Primary
CS000815
MO
Other
Enumeration date
10/05/2005
Last updated
03/19/2025
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