Individual provider · Type 1 NPI

Amy M. Higginbotham, MS

Mental Health Counselor · Green Lake, WI

NPI number 1104125020 Active

Practice location

571 County Road A
Green Lake, WI 54941-8630

Call (920) 294-4070 Map

Fax (920) 294-4139

Mailing address

PO Box 588
Green Lake, WI 54941-0588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104125020

Amy M. Higginbotham, MS's National Provider Identifier is 1104125020, issued on Mar 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Lake, WI. The record was last updated on Mar 17, 2011.