Provider Demographics
NPI:1669114955
Name:HIGGINS, JILLAINE HELEN (LAMFT)
Entity type:Individual
Prefix:
First Name:JILLAINE
Middle Name:HELEN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1736
Mailing Address - Country:US
Mailing Address - Phone:218-263-1347
Mailing Address - Fax:218-263-3241
Practice Address - Street 1:3709 1ST AVE
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2901
Practice Address - Country:US
Practice Address - Phone:218-263-1347
Practice Address - Fax:218-263-3241
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist