MEDICARE: MS. KAREN J. LITTLE LPCC, LISW

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	101YP2500X	Professional Counselor	CCMH0087341	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790976777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN J. LITTLE LPCC, LISW

Provider Business Mailing Address
First Line	:	999 W AMADOR AVE STE D
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2739
Country	:	US
Telephone Number	:	575-556-9681
Fax Number	:	575-525-3542

Provider Business Practice Location Address
First Line	:	999 W AMADOR AVE STE D
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2739
Country	:	US
Telephone Number	:	575-556-9681
Fax Number	:	575-525-3542

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

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	08/29/2024

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