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NPI Code Detail

MEDICARE: REBEKAH MARY HIBBLER CDCA

MEDICARE: REBEKAH MARY HIBBLER CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor165609OH

General Provider Information

NPI Number : 1841784543
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH MARY HIBBLER CDCA
Provider Business Mailing Address
First Line : 5957 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5957 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2210
Country : US
Telephone Number : 614-600-2979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 06/18/2018

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Directions to “ REBEKAH MARY HIBBLER CDCA” Practice Location

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