Individual
JILL LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-12-11
OR
Other
Enumeration date
07/11/2007
Last updated
11/14/2019
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