Individual
JAY STEWART LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, SAC
Contact information
Practice address
421 NEBRASKA ST, DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS, STURGEON BAY, WI 54235-2225
(920) 746-2345
(920) 746-2439
Mailing address
421 NEBRASKA ST, DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS, STURGEON BAY, WI 54235-2225
(920) 746-2345
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2583
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39731200
—
WI
Enumeration date
07/22/2006
Last updated
05/10/2011
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