| Doctor Name: | DR. CHRISTINE R. HIBBARD |
| NPI Number: | 1013925973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D, L.C.P.C. |
| License Number: | |
| Business Practice Address: | 1121 E Main St Suite 320 St Charles, IL - 601742205 |
| Business Phone Number: | 6305840642 |
| Business Fax Number: | 6303652478 |
| Mailing Address: | 43w165 Thorndon Ridge Dr, ELBURN |
| State: | IL |
| Postal Code: | 601199125 |
| Phone Number: | 6303652451 |
| Fax Number: | 6303652478 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |