Individual
MS. JESSICA SUSAN HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10026 MAIN ST BLDG 1, BERLIN, MD 21811-3206
(410) 973-2211
(443) 782-0350
Mailing address
10026 MAIN ST BLDG 1, BERLIN, MD 21811-3206
(410) 973-2211
(443) 782-0350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9764
MD
101YP2500X
Professional Counselor
Primary
LC11740
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
01
—
LC11740
LICENSE
MD
Enumeration date
07/31/2019
Last updated
07/28/2021
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