Individual provider · Type 1 NPI
Jenna Rackley Little, LCMHCA, RDN
Mental Health Counselor · Raleigh, NC
NPI number
1275267718
Active
Practice location
6604 Six Forks Rd Ste 204
Raleigh, NC 27615-6521
Mailing address
624 Twin Star Ln
Knightdale, NC 27545-6636
Other practice locations
- 624 Twin Star Ln, Knightdale, NC 27545-6636 · (252) 717-8794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A17356 (NC) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1275267718
Jenna Rackley Little, LCMHCA, RDN's National Provider Identifier is 1275267718, issued on Jul 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Jul 11, 2022.