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MR. ALFRED LIVINGSTON CAADC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1659773737
Individual Registrant:MR. ALFRED LIVINGSTON CAADC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
410 S SHERMAN ST FITZGERALD, GA 31750-3352 US
Tel: 229-426-0002 Fax: 229-426-0008
Tel: 229-426-0002 Fax: 229-426-0008
Contact information for business:
410 S SHERMAN ST FITZGERALD, GA 31750-3352 US
Tel: 229-426-0002 Fax: 229-426-0008
Tel: 229-426-0002 Fax: 229-426-0008
Registration Information:
NPI: 1659773737
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | GA | C0124 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
