Individual
JEANA HIGGINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
944 NORTH MAIN STREET, NEPHI, UT 84648-1004
(435) 623-1456
(435) 623-1127
Mailing address
152 NORTH 400 WEST, EPHRAIM, UT 84627-2131
(435) 283-8400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7160170-3101
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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