Individual provider · Type 1 NPI

Stephanie Higginbotham

Addiction (Substance Use Disorder) Counselor · Bolivar, MO

NPI number 1497616130 Active

Practice location

910 E San Martin Streert
Bolivar, MO 65613

Mailing address

1650 E 512th Rd
Bolivar, MO 65613-8560

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497616130

Stephanie Higginbotham's National Provider Identifier is 1497616130, issued on Nov 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bolivar, MO. The record was last updated on Nov 21, 2025.