Individual
JACKIE HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3313 E 83RD PL, MERRILLVILLE, IN 46410-6544
(219) 769-8648
Mailing address
9012 COLFAX ST, CROWN POINT, IN 46307-8851
(219) 769-8648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118103
TX
1041C0700X
Clinical Social Worker
149.027948
IL
1041C0700X
Clinical Social Worker
Primary
34010975A
IN
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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