Individual
LAURA HILDEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
3008 BEVCHER DR, MADISON, IN 47250-3863
(812) 265-1918
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001640A
IN
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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