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NPI Code Detail

MEDICARE: KATHERYN HIBBETT

MEDICARE: KATHERYN HIBBETT
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
1101YM0800XMental Health CounselorMC70004860WA

General Provider Information

NPI Number : 1568311165
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERYN HIBBETT
Provider Business Mailing Address
First Line : 4619 NE 112TH AVE APT F101
Second Line :
City : VANCOUVER
State : WA
Zip : 98682-5404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 E MCLOUGHLIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3358
Country : US
Telephone Number : 360-281-6824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ KATHERYN HIBBETT ” Practice Location

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