Individual provider · Type 1 NPI
Theresaa L. Little
Peer Specialist · Detroit, MI
NPI number
1225740459
Active
Practice location
5647 E Outer Dr
Detroit, MI 48234-3778
Mailing address
4875 Coplin St
Detroit, MI 48215-2192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1225740459
Theresaa L. Little's National Provider Identifier is 1225740459, issued on Dec 19, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 19, 2022.