Individual
DOMINIQUE HIBBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 N SUMMIT ST STE 2, TOLEDO, OH 43604-1884
(419) 693-9600
Mailing address
644 ACTON DR, TOLEDO, OH 43615-6548
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162822
CHEMICAL DEPENDENCY BOARD
OH
Enumeration date
02/15/2018
Last updated
02/15/2018
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