Individual
KRYSTAL HIBBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6570 SOSNA DR, FAIRFIELD, OH 45014-2222
(513) 942-4673
(513) 860-1439
Mailing address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165294
OH
101YM0800X
Mental Health Counselor
Primary
C.1902397
OH
Other
Enumeration date
04/05/2017
Last updated
12/29/2021
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