Healthcare Provider Details

I. General information

NPI: 1295875326
Provider Name (Legal Business Name): MR. STEVEN DOUGLAS HIGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2916 EYE ST
BAKERSFIELD CA
93301-2011
US

IV. Provider business mailing address

2725 HAWTHORNE AVE
BAKERSFIELD CA
93305-1815
US

V. Phone/Fax

Practice location:
  • Phone: 661-636-0566
  • Fax: 661-636-0573
Mailing address:
  • Phone: 661-859-0346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: