Individual
STEPHANIE HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E SAN MARTIN STREERT, BOLIVAR, MO 65613
(417) 708-0220
Mailing address
1650 E 512TH RD, BOLIVAR, MO 65613-8560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MO
171M00000X
Case Manager/Care Coordinator
—
MO
172V00000X
Community Health Worker
—
MO
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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