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Omar Sharif Higgins
Mental Health Counselor in Blackstone, Virginia
NPI 1710563770

Omar Sharif Higgins is a Mental Health Counselor based in Blackstone, VA and is specialized in Mental Health. Omar Sharif Higgins practices in Blackstone, VA. The NPI Number for Omar Sharif Higgins is 1710563770 and holds a License No. T63491047 (Virginia).

The current practice location address for Omar Sharif Higgins is 123 S Main St, Blackstone, VA and can be reached out via phone at 434-446-5259.

Location: 123 S Main St, Blackstone, VA, 23824-1841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710563770
Provider Name
Omar Sharif Higgins
Credential
Provider Entity Type
Individual
Gender
Male
Address
123 S Main St, Blackstone, VA, 23824-1841
Phone Number
434-446-5259
Fax Number
Provider Enumeration Date
03/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 S Main St
City
Blackstone
State
Virginia
Zip
23824-1841
Phone Number
434-446-5259
Fax Number
person
Provider Business Mailing Address Details
Address
123 S Main St
City
Blackstone
State
Virginia
Zip
23824-1841
Phone Number
434-446-5259
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
T63491047 (Virginia)
Definition
Definition to come...
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