Provider Demographics
NPI:1679601793
Name:HIGGINS, BEJAI JE (MS)
Entity type:Individual
Prefix:MS
First Name:BEJAI
Middle Name:JE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13631 ROSTRATA RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-1723
Mailing Address - Country:US
Mailing Address - Phone:858-229-5373
Mailing Address - Fax:
Practice Address - Street 1:13525 MIDLAND RD STE J
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4772
Practice Address - Country:US
Practice Address - Phone:858-229-5373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 32220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional