Individual
MARK JOHNSON HIBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
16162 CAREY RD, RADIANT CHRISTIAN LIFE CHURCH, WESTFIELD, IN 46074
(317) 442-3956
Mailing address
5169 LAKE POINT DR, CARMEL, IN 46033
(317) 442-3956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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