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NPI Code Detail

MEDICARE: JANICE HIGGINS SUDCC IV CS

MEDICARE:   JANICE  HIGGINS  SUDCC IV CS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor6182CA

General Provider Information

NPI Number : 1477175750
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE HIGGINS SUDCC IV CS
Provider Business Mailing Address
First Line : 202 N 8TH ST
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1586
Fax Number :
Provider Business Practice Location Address
First Line : 202 N 8TH ST
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2020
Last Update Date : 05/12/2026

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Directions to “ JANICE HIGGINS SUDCC IV CS” Practice Location

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