Individual provider · Type 1 NPI

Isaac Ty Little

Addiction (Substance Use Disorder) Counselor · Garden Grove, CA

NPI number 1083454425 Active

Practice location

12781 Josephine St
Garden Grove, CA 92841-4622

Call (657) 251-0503 Map

Mailing address

2885 Fairview Rd Apt E201
Costa Mesa, CA 92626-4124

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1545080124 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

32 other providers at this address

Other addiction (substance use disorder) counselor providers in Garden Grove

See all in Garden Grove →

About NPI 1083454425

Isaac Ty Little's National Provider Identifier is 1083454425, issued on May 31, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Garden Grove, CA. The record was last updated on May 31, 2024.