MEDICARE: MARY FRANCES HIGGINS LMHC MFT ADC

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
1	101YM0800X	Mental Health Counselor	00838	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00838	OTHER	IA	LMHC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295872760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY FRANCES HIGGINS LMHC MFT ADC

Provider Business Mailing Address
First Line	:	320 N 3RD ST STE 520
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-5308
Country	:	US
Telephone Number	:	319-754-6266
Fax Number	:	319-752-2195

Provider Business Practice Location Address
First Line	:	320 N 3RD ST STE 520
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-5308
Country	:	US
Telephone Number	:	319-754-6266
Fax Number	:	319-752-2195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	11/13/2012

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