Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 65943 | MI |
Y | 101YM0800X | Mental Health Counselor | 6401009231 | MI |
N | 101YS0200X | School Counselor | SC000800 | MI |
NPI | 1023357209 |
---|---|
Provider Name | Tammy Michele Littlefield |
First Address | Macomb, MI 48044-3426 |
Second Address | Detroit, MI 48201-1916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 07/02/2013 |