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Theresaa L Little
Peer Specialist in Detroit, Michigan
NPI 1225740459

Theresaa L Little is a Peer Specialist based in Detroit, MI. Theresaa L Little practices in Detroit, MI. The NPI Number for Theresaa L Little is 1225740459 and holds a License No. (Michigan).

The current practice location address for Theresaa L Little is 5647 E Outer Dr, Detroit, MI and can be reached out via phone at 313-463-3483.

Location: 5647 E Outer Dr, Detroit, MI, 48215-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225740459
Provider Name
Theresaa L Little
Credential
Provider Entity Type
Individual
Gender
Female
Address
5647 E Outer Dr, Detroit, MI, 48215-2192
Phone Number
313-463-3483
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5647 E Outer Dr
City
Detroit
State
Michigan
Zip
48234-3778
Phone Number
313-463-3483
Fax Number
person
Provider Business Mailing Address Details
Address
5647 E Outer Dr
City
Detroit
State
Michigan
Zip
48234-3778
Phone Number
313-463-3483
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Michigan)
Definition
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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