Provider Demographics
NPI:1093565335
Name:HIGGINS, VERONICA (PLPC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3864 ALBERS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-1056
Mailing Address - Country:US
Mailing Address - Phone:314-322-6973
Mailing Address - Fax:
Practice Address - Street 1:6506 WRIGHT WAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-3209
Practice Address - Country:US
Practice Address - Phone:314-643-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023028750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional