Individual
THERESAA L LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5647 E OUTER DR, DETROIT, MI 48234-3778
(313) 463-3483
Mailing address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 454-7777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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