Individual
MR. CLARENCE DEREK LITTLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1039 DOOLEY DR, CHARLOTTE, NC 28227-8142
(704) 651-6512
Mailing address
1039 DOOLEY DR, CHARLOTTE, NC 28227-8142
(704) 651-6512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005677
—
NC
05
—
6102912
—
NC
Enumeration date
05/03/2007
Last updated
07/09/2007
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