Liston, Victoria Ann

Liston, Victoria Ann is an individual health care provider with primary practice located at 2148 Vadalabene Dr , Maryville IL 62062-5632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Liston, Victoria Ann can be contacted via phone (618) 288-3100.

Contact Information

Primary practice address
2148 Vadalabene Dr Maryville IL 62062-5632
Phone: (618) 288-3100
Fax: (618) 288-3371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.013697 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033484449
LBN Legal business name Liston, Victoria Ann
Credentials BSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Apr 5th, 2020 - about 6 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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