Higgenbottom, Lester Leslie

Higgenbottom, Lester Leslie is an sole proprietor health care provider with primary practice located at 1820 Arlington Ave , Racine WI 53403. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Higgenbottom, Lester Leslie can be contacted via phone (262) 637-9933.

Contact Information

Primary practice address
1820 Arlington Ave Racine WI 53403
Phone: (262) 637-9933
Fax: (262) 637-9933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1012-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2031-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 2031-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 793 Wisconsin

Profile Details

NPI number 1689760332
LBN Legal business name Higgenbottom, Lester Leslie
Credentials LCSW, LPC, CADCIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689760332 NPPES
Wisconsin MEDICAID 39227800

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