MS. Justine Ann Livesay, LCPC

NPI #1437349958 in Centreville, Illinois

Provider Information

NPI Number: 1437349958
Entity Type: Individual
Name: MS. Justine Ann Livesay, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Jul 31, 2007
Last Updated: Jul 31, 2007

Practice Location

Address: 353 N 88TH ST
Address 2: HIGHWAY 157
City: Centreville
State: Illinois
ZIP Code: 62203-2705
Phone: (618) 398-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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