Healthcare Provider Details

I. General information

NPI: 1568418598
Provider Name (Legal Business Name): RIEKO HIGUCHI LMHC, CAP, CST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W 8TH ST UF HEALTH, CLINICAL CENTER, 3RD FLOOR
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

655 W 8TH ST UF HEALTH, CLINICAL CENTER, 3RD FLOOR
JACKSONVILLE FL
32209-6511
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-2120
  • Fax: 904-244-2896
Mailing address:
  • Phone: 904-244-2120
  • Fax: 904-244-2896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAP 5998
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH7307
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberSEX THERAPIST
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: