MEDICARE: NATASHA LITTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT80169	CA

General Provider Information

NPI Number	:	1376773861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA LITTLE

Provider Business Mailing Address
First Line	:	1110 N VIRGIL AVE PMB 97049
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2016
Country	:	US
Telephone Number	:	661-860-6138
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 N VIRGIL AVE PMB 97049
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2016
Country	:	US
Telephone Number	:	661-860-6138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2009
Last Update Date	:	07/10/2023

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Directions to “ NATASHA LITTLE ” Practice Location

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