Healthcare Provider Details

I. General information

NPI: 1497192470
Provider Name (Legal Business Name): JENNIFER DELORIS LITTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER HILL LPCC

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N EL CAMINO REAL STE 306
ENCINITAS CA
92024-2814
US

IV. Provider business mailing address

317 N EL CAMINO REAL STE 306
ENCINITAS CA
92024-2814
US

V. Phone/Fax

Practice location:
  • Phone: 760-458-1600
  • Fax:
Mailing address:
  • Phone: 760-458-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2992
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2992
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: