person
Jenny A Ingram, MS,CSAC,IDP-AT,PSIT
Professional Counselor in Hayward, Wisconsin
NPI 1033379516

Jenny A Ingram is a Professional Counselor based in Hayward, WI and is specialized in Professional. Jenny A Ingram practices in Hayward, WI and has the professional credentials of MS,CSAC,IDP-AT,PSIT. The NPI Number for Jenny A Ingram is 1033379516 and holds a License No. 14547-131 (Wisconsin).

The current practice location address for Jenny A Ingram is 13380 W Trepania Rd, Hayward, WI and can be reached out via phone at 715-638-5116 and via fax at 715-638-6107.

Location: 13380 W Trepania Rd, Hayward, WI, 54843-2186
person
Provider Profile Details
NPI Number
1033379516
Provider Name
Jenny A Ingram
Credential
MS,CSAC,IDP-AT,PSIT
Provider Entity Type
Individual
Gender
Female
Address
13380 W Trepania Rd, Hayward, WI, 54843-2186
Phone Number
715-638-5116
Fax Number
715-638-6107
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39172000 05 WI
institution
Provider Business Practice Location Address Details
Address
13380 W Trepania Rd
City
State
Zip
54843-2186
Phone Number
715-638-5116
Fax Number
715-638-6107
person
Provider Business Mailing Address Details
Address
13380 W Trepania Rd
City
State
Zip
54843-2186
Phone Number
715-638-5116
Fax Number
715-638-6107
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2831 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14547-131 (Wisconsin)
Definition
Definition to come...
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