Individual
MR. JEFFREY QUIDORE HIGGINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.D.C.
Contact information
Practice address
104 SPINK ST, 3RD FLOOR, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Mailing address
104 SPINK ST, 3RD FLOOR, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923393
OH
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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