Provider Demographics
NPI:1174159495
Name:HIGGINS, ANNA (LMHCA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 GRANT AVE S APT X201
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-3099
Mailing Address - Country:US
Mailing Address - Phone:248-703-4789
Mailing Address - Fax:
Practice Address - Street 1:1200 GRANT AVE S APT X201
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-3099
Practice Address - Country:US
Practice Address - Phone:248-703-4789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61001383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health