Provider Demographics
NPI:1821143413
Name:HIGGINS, SHARYN (MSW)
Entity Type:Individual
Prefix:
First Name:SHARYN
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6236 N FELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1620
Mailing Address - Country:US
Mailing Address - Phone:209-381-6830
Mailing Address - Fax:209-383-9666
Practice Address - Street 1:808 W 16TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4600
Practice Address - Country:US
Practice Address - Phone:209-381-6830
Practice Address - Fax:209-383-9666
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW12740101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor