Individual
DAVID A LISTUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LPCC
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6378
(701) 253-6400
Mailing address
PO BOX 2055, JAMESTOWN, ND 58402-2055
(701) 253-6378
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2886194137
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022427
BCBS PROVIDER NUMBER
ND
Enumeration date
08/19/2006
Last updated
09/23/2008
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