Organization
HIBBARD THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HIBBARD (OWNER)
(410) 245-2199
Entity
Organization
Contact information
Practice address
507 WEST DR, SEVERNA PARK, MD 21146-2623
(410) 245-2199
Mailing address
365 WILETT DR, SEVERNA PARK, MD 21146-1920
(410) 245-2199
(410) 544-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC4701
MD
1041C0700X
Clinical Social Worker
Primary
13249
MD
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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