Individual
KYLE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, LISW, LICDC
Contact information
Practice address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3405
(440) 808-0800
Mailing address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150058
OH
Other
Enumeration date
06/15/2016
Last updated
09/16/2019
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