Individual
SEAN THOMAS HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 855-8767
(651) 431-7437
Mailing address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 855-8767
(651) 431-7437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304904
MN
101YM0800X
Mental Health Counselor
Primary
5148
MN
183500000X
Pharmacist
116734
MN
183500000X
Pharmacist
4890
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304904
LADC
MN
01
—
5148
LPCC
MN
Enumeration date
09/07/2017
Last updated
09/23/2025
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