Individual
MRS. LISA LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5336 N RAISIN CENTER HWY, TECUMSEH, MI 49286-9580
(734) 637-6703
Mailing address
5336 N RAISIN CENTER HWY, TECUMSEH, MI 49286-9580
(734) 637-6703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017670
MI
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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