Individual provider · Type 1 NPI

Jared Michael Hibma, MA

Mental Health Counselor · Eden Prairie, MN

NPI number 1780988360 Active

Practice location

7525 Mitchell Rd, Suite 100
Eden Prairie, MN 55344-1959

Fax (952) 224-2284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780988360

Jared Michael Hibma, MA's National Provider Identifier is 1780988360, issued on Dec 22, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eden Prairie, MN. The record was last updated on Dec 22, 2010.