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NPI Code Detail

MEDICARE: DAVID L HIGGINS LPCC

MEDICARE:   DAVID L HIGGINS  LPCC
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
1101YP2500XProfessional Counselor0881KY
2101YM0800XMental Health Counselor0881KY

General Provider Information

NPI Number : 1568519312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID L HIGGINS LPCC
Provider Business Mailing Address
First Line : PO BOX 37
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-0037
Country : US
Telephone Number : 270-667-7017
Fax Number : 270-667-9065
Provider Business Practice Location Address
First Line : 215 E MAIN ST
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-1261
Country : US
Telephone Number : 270-667-7017
Fax Number : 270-667-9065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 03/02/2018

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Directions to “ DAVID L HIGGINS LPCC” Practice Location

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