Individual
ELLON LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2195 SAINT JAMES BLVD, GULFPORT, MS 39507-2117
(601) 832-8618
Mailing address
11975 SEAWAY RD, GULFPORT, MS 39503-6015
(228) 863-4992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2908
MS
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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