Individual
BEVERLY LUCILLE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3701 ASHBROOK DR NW, WILSON, NC 27896-7620
(919) 394-9745
(919) 739-4989
Mailing address
3701 ASHBROOK DR NW APT 1111, WILSON, NC 27896-7626
(919) 394-9745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9655
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
10/10/2012
Last updated
10/10/2012
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