Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1235478496 |
---|---|
Provider Name | Ms. Brenda Jean Littleton |
First Address | Joshua Tree, CA 92252-0513 |
Second Address | Yucca Valley, CA 92284-7307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 05/12/2014 |