Nicholas Jay Livingston

NPI #1326392267 in Cache, Oklahoma

Provider Information

NPI Number: 1326392267
Entity Type: Individual
Name: Nicholas Jay Livingston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 30, 2012
Last Updated: Jul 20, 2015

Practice Location

Address: 15939 SW LEE BLVD
City: Cache
State: Oklahoma
ZIP Code: 73527-3027
Phone: (580) 699-0295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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