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Mark D Livingston, BA
Peer Specialist in Las Vegas, New Mexico
NPI 1023674702

Mark D Livingston is a Peer Specialist based in Las Vegas, NM. Mark D Livingston practices in Las Vegas, NM and has the professional credentials of BA. The NPI Number for Mark D Livingston is 1023674702 and holds a License No. 276 (New Mexico).

The current practice location address for Mark D Livingston is 2301 7Th St Ste A, Las Vegas, NM and can be reached out via phone at 505-454-9611.

Location: 2301 7Th St Ste A, Las Vegas, NM, 87701-4966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023674702
Provider Name
Mark D Livingston
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
2301 7Th St Ste A, Las Vegas, NM, 87701-4966
Phone Number
505-454-9611
Fax Number
Provider Enumeration Date
05/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83774556 05 NM
institution
Provider Business Practice Location Address Details
Address
2301 7Th St Ste A
City
Las Vegas
State
New Mexico
Zip
87701-4966
Phone Number
505-454-9611
Fax Number
person
Provider Business Mailing Address Details
Address
2301 7Th St Ste A
City
Las Vegas
State
New Mexico
Zip
87701-4966
Phone Number
505-454-9611
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
276 (New Mexico)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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