Provider Demographics
NPI:1699519819
Name:LITTLE, GINGER (MS, LMFT)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4872 TOPANGA CANYON BLVD # 332
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4229
Mailing Address - Country:US
Mailing Address - Phone:805-233-4754
Mailing Address - Fax:
Practice Address - Street 1:4872 TOPANGA CANYON BLVD # 332
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4229
Practice Address - Country:US
Practice Address - Phone:805-233-4754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT32446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist