Individual
TERESA ANN MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PC
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-79265
MT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/24/2008
Last updated
05/05/2025
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