Provider Demographics
NPI:1386404309
Name:LITTLE, RACHAEL M (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:M
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 MAPLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667-9221
Mailing Address - Country:US
Mailing Address - Phone:802-535-9241
Mailing Address - Fax:
Practice Address - Street 1:1403 MAPLE HILL RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:VT
Practice Address - Zip Code:05667-9221
Practice Address - Country:US
Practice Address - Phone:802-535-9241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC9652101YM0800X
VT100.0134139TELE101YM0800X
CALMFT124744101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health