| Livingston Counseling, Llc | |
|
5149 S 1500 W Riverdale UT 84405-3926 | |
| (801) 475-0402 | |
| Not Available |
| Full Name | Livingston Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5149 S 1500 W, Riverdale, Utah |
| Authorized Official Name and Position | Derek Livingston (OWNER) |
| Authorized Official Contact | 3072481579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Counseling, Llc 5149 S 1500 W Riverdale UT 84405-3926 Ph: (801) 475-0402 | Livingston Counseling, Llc 5149 S 1500 W Riverdale UT 84405-3926 Ph: (801) 475-0402 |
| NPI Number | 1316709108 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316709108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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