Ingram Counseling Services, LLC

NPI #1720569726 in Shiloh, Illinois

Provider Information

NPI Number
1720569726
Entity Type
Organization
Organization Name
Ingram Counseling Services, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Aug 27, 2018
Last Updated
Aug 27, 2018

Practice Location

Address
1161 FORTUNE BLVD STE 400
City
Shiloh
ZIP Code
62269-7385
Phone
(314) 722-8281

Authorized Official

Name
ANGELA M INGRAM
Title
LCPC/COUNSELOR
Phone
(314) 722-8281

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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