Individual
MR. JUSTIN GERALD BIXBY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LMFT
Contact information
Practice address
704 W HOOD AVE STE D, SISTERS, OR 97759-1529
(541) 640-9310
Mailing address
615 N MEADOW LN, SISTERS, OR 97759-3148
(360) 553-2814
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF60817829
WA
106H00000X
Marriage & Family Therapist
Primary
T1903
OR
Other
Enumeration date
09/09/2015
Last updated
07/10/2024
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