Individual provider · Type 1 NPI

James Liston III

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1700919164 Active

Practice location

600 S Preston St
Louisville, KY 40202-1716

Call (502) 589-1100 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165752 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700919164

James Liston III's National Provider Identifier is 1700919164, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jun 21, 2016.