Provider Demographics
NPI:1104470533
Name:LITTLE, VICTORIA LYNN (MS, LCPC, CPLC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MS, LCPC, CPLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 BEL AIR RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2724
Mailing Address - Country:US
Mailing Address - Phone:410-387-9823
Mailing Address - Fax:
Practice Address - Street 1:1914 BEL AIR RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2724
Practice Address - Country:US
Practice Address - Phone:410-387-9823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-24
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9712101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional