Individual
MRS. MISTY DAWN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 538-1240
Mailing address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 538-1240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW126271
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW126271
LICENSE NUMBER
PA
Enumeration date
08/07/2009
Last updated
05/19/2013
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