Provider Demographics
NPI:1508884735
Name:LITTLE, CARLA SUE (LCMFT)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:SUE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2806
Mailing Address - Country:US
Mailing Address - Phone:620-474-7925
Mailing Address - Fax:
Practice Address - Street 1:104 W 22ND AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2806
Practice Address - Country:US
Practice Address - Phone:620-474-7925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS542106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist