Individual
SHAHRUKH SHAH-O'HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W UNAKA AVE, JOHNSON CITY, TN 37604-5507
(423) 408-8041
Mailing address
100 W UNAKA AVE, JOHNSON CITY, TN 37604-5507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2483
TN
Other
Enumeration date
03/08/2023
Last updated
05/29/2025
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