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Individual

JESSACA M HIGGINBOTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IMFT

Contact information

Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 453-8252
(330) 452-4655
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.2600564
OH
106H00000X
Marriage & Family Therapist
Primary
M.2300289
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001110
OH
Enumeration date
08/23/2022
Last updated
01/13/2026
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