Individual
MALLERY HIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6600 SUGARLOAF PKWY STE 400-374, DULUTH, GA 30097-4344
(678) 524-4033
Mailing address
6600 SUGARLOAF PKWY STE 400-374, DULUTH, GA 30097-4344
(678) 524-4033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC012184
GA
101YM0800X
Mental Health Counselor
LPC012184
GA
101YP2500X
Professional Counselor
Primary
LPC012184
GA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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