Individual
ANGELLA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 224-7223
(318) 445-1004
Mailing address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 224-7203
(318) 415-1004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5743
LA
101YM0800X
Mental Health Counselor
5743
LA
101YP2500X
Professional Counselor
Primary
5743
LA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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