Kimberely L Ingram, LPC

NPI #1790761617 in Salem, Missouri

Provider Information

NPI Number: 1790761617
Entity Type: Individual
Name: Kimberely L Ingram, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 22, 2005
Last Updated: Mar 27, 2019

Practice Location

Address: 913 S PERSHING AVE
City: Salem
State: Missouri
ZIP Code: 65560-1845
Phone: (888) 403-1071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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