Individual
BRADLEY WILLIAM HIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161600
OH
104100000X
Social Worker
Primary
S.1600722
OH
Other
Enumeration date
05/15/2017
Last updated
05/18/2020
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