Doctor Name: | MS. HILLARY JACKSON LITTLE |
NPI Number: | 1275885246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CRC, LPCA |
License Number: | A9368 |
Business Practice Address: | 200 South Greensboro Street Suite C-6 Carrboro, NC - 275101833 |
Business Phone Number: | 9192185472 |
Business Fax Number: | 9199427379 |
Mailing Address: | 200 South Greensboro Street, Suite C-6 CARRBORO |
State: | NC |
Postal Code: | 275101833 |
Phone Number: | 9192185472 |
Fax Number: | 9199427379 |
NPI Enumeration Date: | 10/15/2012 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A9368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |