Individual
SUMMER HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 N 1760 W, PROVO, UT 84604-3096
(512) 579-7355
Mailing address
903 N 1760 W, PROVO, UT 84604-3096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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