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WALTER T LITTLE M.ED LPC

Addiction Substance Use Disorder

Holly Springs, North Carolina

Provider NPI: 1750388914

Provider Information:
 WALTER T LITTLE M.ED LPC
Gender: M
Not Sole Proprietor

Practice Location:
804 CREEK HAVEN DR  HOLLY SPRINGS, NC 27540 US
Tel: 919-362-0577  Fax: 919-680-4883

Business Mailing Address:
804 CREEK HAVEN DR  HOLLY SPRINGS, NC 27540 US
Tel: 919-362-0577  Fax: 919-680-4883

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NC4713
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
NC4713

Other Provider Identifiers:

IssuerNumberStateType
6102010NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS NC - Page 1



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