NPI 1003096454

Megan Elizabeth Liston, CASAC

Practitioner Addiction (Substance Use Disorder) Counselor Elmont, NY

Practice location

Address: 40 Elmont Rd, Elmont, NY 11003-1603
Phone: (516) 437-0440
Fax: (515) 326-1159

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 8160 (NY)

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Registry record

NPI: 1003096454
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2007
Record last updated: 13 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.