Individual
ERICK T HIBBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 OAK STREET, RICHTON, MS 39476-3947
(601) 408-0719
Mailing address
PO BOX 689, RICHTON, MS 39476-0689
(601) 408-0719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CDI-200
MS
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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