Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | 1890 | MS |
N | 101YP2500X | Professional Counselor | 2066 | LA |
NPI | 1346358652 |
---|---|
Provider Name | Dr. James E Hightower JR. |
First Address | Diamondhead, MS 39525-4449 |
Second Address | Diamondhead, MS 39525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 30/10/2018 |