Provider Demographics
NPI:1225187123
Name:LITTLE, CATHERINE JEANNINE (MS MFT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:JEANNINE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1094
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-9094
Mailing Address - Country:US
Mailing Address - Phone:925-687-8332
Mailing Address - Fax:925-687-8332
Practice Address - Street 1:3330 CLAYTON RD STE E
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2838
Practice Address - Country:US
Practice Address - Phone:925-687-8332
Practice Address - Fax:925-687-8332
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist