Provider Demographics
NPI:1477035269
Name:BIGGS, JACQUELINE (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:BIGGS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 CHANDLER WAY
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-9104
Mailing Address - Country:US
Mailing Address - Phone:484-538-5137
Mailing Address - Fax:
Practice Address - Street 1:5244 CHANDLER WAY
Practice Address - Street 2:
Practice Address - City:OREFIELD
Practice Address - State:PA
Practice Address - Zip Code:18069-9104
Practice Address - Country:US
Practice Address - Phone:484-538-5137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011901101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC011901OtherBUREA OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS