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NPI Code Detail

MEDICARE: JORDAN HIGGINS

MEDICARE:   JORDAN  HIGGINS
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
1106H00000XMarriage & Family Therapist148636CA

General Provider Information

NPI Number : 1790555639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN HIGGINS
Provider Business Mailing Address
First Line : 5025 COLLWOOD BLVD # 2414
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-2126
Country : US
Telephone Number : 325-261-2237
Fax Number :
Provider Business Practice Location Address
First Line : 5025 COLLWOOD BLVD # 2414
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-2126
Country : US
Telephone Number : 325-261-2237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2024
Last Update Date : 09/01/2024

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Directions to “ JORDAN HIGGINS ” Practice Location

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