Individual
JESSICA LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4505 S WASATCH BLVD STE 360D, SALT LAKE CITY, UT 84124-4709
(385) 213-1062
Mailing address
PO BOX 9146, SALT LAKE CITY, UT 84109-0146
(385) 213-1062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9808374-3501
UT
Other
Enumeration date
06/07/2016
Last updated
12/15/2025
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