Individual
JAY ZACHARY LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2740 DEVINE ST STE 1&2, COLUMBIA, SC 29205-2412
(803) 457-5413
Mailing address
PO BOX 212901, COLUMBIA, SC 29221
(803) 457-5413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7379
SC
Other
Enumeration date
06/19/2020
Last updated
02/07/2023
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