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Mr. Michael Peter Higginbotham II
Mental Health Counselor in Central Point, Oregon
NPI 1538603618

Michael Peter Higginbotham II is a Mental Health Counselor based in Central Point, OR and is specialized in Mental Health. Michael Peter Higginbotham II practices in Central Point, OR. The NPI Number for Michael Peter Higginbotham II is 1538603618 and holds a License No. (Oregon).

The current practice location address for Michael Peter Higginbotham II is 843 Pittview Ave, Central Point, OR and can be reached out via phone at 503-298-0249 and via fax at 541-386-7982.

Location: 843 Pittview Ave, Central Point, OR, 97502-2948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538603618
Provider Name
Michael Peter Higginbotham II
Credential
Provider Entity Type
Individual
Gender
Male
Address
843 Pittview Ave, Central Point, OR, 97502-2948
Phone Number
503-298-0249
Fax Number
541-386-7982
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500788866 05 OR
institution
Provider Business Practice Location Address Details
Address
843 Pittview Ave
City
Central Point
State
Oregon
Zip
97502-2948
Phone Number
503-298-0249
Fax Number
541-386-7982
person
Provider Business Mailing Address Details
Address
843 Pittview Ave
City
Central Point
State
Oregon
Zip
97502-2948
Phone Number
503-298-0249
Fax Number
541-386-7982
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C6150 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R4989 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C6150 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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