| Doctor Name: | JENNIFER SUE LIVINGSTON |
| NPI Number: | 1356717730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC-TEMP |
| License Number: | 077526 |
| Business Practice Address: | 113 N John Wayne Dr Winterset, IA - 502731501 |
| Business Phone Number: | 5154625967 |
| Business Fax Number: | 5154625981 |
| Mailing Address: | 2213 Grand Ave, DES MOINES |
| State: | IA |
| Postal Code: | 503125305 |
| Phone Number: | 5152373974 |
| Fax Number: | 5152880122 |
| NPI Enumeration Date: | 08/19/2015 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 077526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |