Individual
KAREN L LITTLE-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, CCS
Contact information
Practice address
857 S 19TH ST, NEWARK, NJ 07108-1109
(973) 223-2382
Mailing address
857 S 19TH ST, NEWARK, NJ 07108-1109
(973) 223-2382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00151000
NJ
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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