MR. George Livengood, MFT 52124
NPI #1962093625 in Lake Balboa, California
Provider Information
- NPI Number
- 1962093625
- Entity Type
- Individual
- Name
- MR. George Livengood, MFT 52124
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT 52124
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Jan 26, 2021
Practice Location
- Address
- 6714 BALBOA BLVD APT 2
- City
- Lake Balboa
- State
- California
- ZIP Code
- 91406-5570
- Phone
- (917) 674-3459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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