Individual provider · Type 1 NPI
Mark A. Livingston, LPCIT, SAC
Professional Counselor · Milwaukee, WI
NPI number
1265796080
Active
Practice location
2701 S Chase Ave Ste C
Milwaukee, WI 53207-1482
Mailing address
7216 S. 37th Place
Franklin, WI 53132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16622-130 (WI) |
| Professional Counselor Primary | 101YP2500X | 1724-226 (WI) |
Professional Counselor: Definition to come...
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About NPI 1265796080
Mark A. Livingston, LPCIT, SAC's National Provider Identifier is 1265796080, issued on Jun 26, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 22, 2014.