Individual
MR. MICHAEL E HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
507 WEST DR, SEVERNA PARK, MD 21146-2623
(443) 255-4466
Mailing address
365 WILETT DR, SEVERNA PARK, MD 21146-1920
(443) 255-4466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4701
MD
Other
Enumeration date
12/17/2011
Last updated
09/03/2013
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