person
Mr. Timothy Leon Ingram, MED
Mental Health Counselor in Jacksonville, Florida
NPI 1003966474

Timothy Leon Ingram is a Mental Health Counselor based in Neptune Beach, FL and is specialized in Mental Health. Timothy Leon Ingram practices in Jacksonville, FL and has the professional credentials of MED. The NPI Number for Timothy Leon Ingram is 1003966474 and holds a License No. MH1575 (Florida).

The current practice location address for Timothy Leon Ingram is 9951 Atlantic Blvd, Jacksonville, FL and can be reached out via phone at 904-482-4105 and via fax at 904-482-4106.

Location: 9951 Atlantic Blvd, Jacksonville, FL, 32266-6050
person
Provider Profile Details
NPI Number
1003966474
Provider Name
Timothy Leon Ingram
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
9951 Atlantic Blvd, Jacksonville, FL, 32266-6050
Phone Number
904-482-4105
Fax Number
904-482-4106
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9951 Atlantic Blvd
City
State
Zip
32225-6584
Phone Number
904-482-4105
Fax Number
904-482-4106
person
Provider Business Mailing Address Details
Address
9951 Atlantic Blvd
City
State
Zip
32225-6584
Phone Number
904-482-4105
Fax Number
904-482-4106
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH1575 (Florida)
Definition
Definition to come...
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