Individual provider · Type 1 NPI

Susan Vivica Little

Professional Counselor · Lawrenceville, GA

NPI number 1629617717 Active

Practice location

2090 Sugarloaf Pkwy Ste 115
Lawrenceville, GA 30045-9402

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1629617717

Susan Vivica Little's National Provider Identifier is 1629617717, issued on Jan 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 13, 2025.