Individual
MRS. JENNA RACKLEY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, RDN
Contact information
Practice address
6604 SIX FORKS RD STE 204, RALEIGH, NC 27615-6521
(252) 717-8794
Mailing address
624 TWIN STAR LN, KNIGHTDALE, NC 27545-6636
(252) 717-8794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17356
NC
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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