Jay Zachary Little, LPC
Counselor in Columbia, SC. Individual provider (NPI-1).
NPI number1114543774
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1114543774
- Entity type
- Individual (NPI-1)
- Name
- Jay Zachary Little
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2020
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 7379 | SC | Yes |
Practice location
2740 Devine St Ste 1&2Columbia, SC 29205-2412
Phone 803-457-5413
Mailing address
Po Box 212901Columbia, SC 29221
Phone 803-457-5413
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