Individual
ANDRE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 LE CLAIRE CT, SAN RAFAEL, CA 94903-3526
(415) 755-3627
Mailing address
7 LE CLAIRE CT, SAN RAFAEL, CA 94903-3526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/12/2022
Last updated
07/15/2022
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