Individual
SHIRLEY KAY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT, LADC
Contact information
Practice address
519 CENTER ST, MANCHESTER, CT 06040-3903
(860) 647-1324
Mailing address
519 CENTER ST, MANCHESTER, CT 06040-3903
(860) 647-1324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000854
CT
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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