Latham Ingersoll

NPI #1093164543 in Oxnard, California

Provider Information

NPI Number
1093164543
Entity Type
Individual
Name
Latham Ingersoll
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jun 6, 2016
Last Updated
Jun 6, 2016

Practice Location

Address
2055 SAVIERS RD
City
Oxnard
ZIP Code
93033-3608
Phone
(805) 483-2253

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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