Individual provider · Type 1 NPI

Gweenesha Montez Little

Mental Health Counselor · Lawrenceville, GA

NPI number 1235488552 Active

Practice location

175 Gwinnett Drive
Lawrenceville, GA 30045-8444

Call (770) 339-2395 Map

Fax (678) 990-3997

Mailing address

4598 Ash Tree Street
Snellville, GA 30039

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC003423 (GA)
Mental Health Counselor 101YM0800X283372 (GA)

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About NPI 1235488552

Gweenesha Montez Little's National Provider Identifier is 1235488552, issued on Aug 31, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 31, 2012.