Individual
ANGELA LYNN LISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
58706 PARKWOOD DR, SAINT HELENS, OR 97051-3632
(971) 227-2241
Mailing address
58706 PARKWOOD DR, SAINT HELENS, OR 97051-3632
(971) 227-2241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7401
OR
101YM0800X
Mental Health Counselor
LH60825857
WA
101YP2500X
Professional Counselor
C7401
OR
101YP2500X
Professional Counselor
LH60825857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137062
—
WA
Enumeration date
07/26/2018
Last updated
02/11/2025
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