Individual
JORDAN BRE'ANN LITTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42054
CA
167G00000X
Licensed Psychiatric Technician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
TELECARE CORPORATION
CA
Enumeration date
05/01/2024
Last updated
12/09/2024
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