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NPI Code Detail

MEDICARE: MS. JOANNA RACHEL LITTELL M.A.

MEDICARE: MS. JOANNA RACHEL LITTELL M.A.
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
1106H00000XMarriage & Family TherapistIMF 47820CA

General Provider Information

NPI Number : 1518978261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA RACHEL LITTELL M.A.
Provider Business Mailing Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number :
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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