Liston, Mark Allen
Liston, Mark Allen is an sole proprietor health care provider with primary practice located at 2205 Connecticut Ave , Joplin MO 64804-3021. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Liston, Mark Allen can be contacted via phone (417) 782-1290.Contact Information
Primary practice address
2205 Connecticut Ave
Joplin MO 64804-3021
Phone: (417) 782-1290
Fax: (417) 782-1290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CS000815 | Missouri |
Profile Details
| NPI number | 1326035247 |
|---|---|
| LBN Legal business name | Liston, Mark Allen |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Sep 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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