Provider Demographics
NPI:1407829575
Name:HIGGINS-MIKITA, CYNTHIA M (LPCC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:HIGGINS-MIKITA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 S OHIO ST
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-1144
Mailing Address - Country:US
Mailing Address - Phone:740-942-9773
Mailing Address - Fax:740-942-9773
Practice Address - Street 1:258 S OHIO ST
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-1144
Practice Address - Country:US
Practice Address - Phone:740-942-9773
Practice Address - Fax:740-942-9773
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health