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Mrs. Jennifer Mavrick Ingram, LMHC,CAP
Mental Health Counselor in Largo, Florida
NPI 1114125978

Jennifer Mavrick Ingram is a Mental Health Counselor based in Largo, FL and is specialized in Mental Health. Jennifer Mavrick Ingram practices in Largo, FL and has the professional credentials of LMHC,CAP. The NPI Number for Jennifer Mavrick Ingram is 1114125978 and holds a License No. 2868 (Florida).

The current practice location address for Jennifer Mavrick Ingram is 1301 Seminole Blvd, Largo, FL and can be reached out via phone at 727-213-5379 and via fax at 272-213-5370.

Location: 1301 Seminole Blvd, Largo, FL, 33770-8173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114125978
Provider Name
Jennifer Mavrick Ingram
Credential
LMHC,CAP
Provider Entity Type
Individual
Gender
Female
Address
1301 Seminole Blvd, Largo, FL, 33770-8173
Phone Number
727-213-5379
Fax Number
272-213-5370
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11691411 01 FL CAQH ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1301 Seminole Blvd
City
Largo
State
Florida
Zip
33770-8173
Phone Number
727-213-5379
Fax Number
272-213-5370
person
Provider Business Mailing Address Details
Address
1301 Seminole Blvd
City
Largo
State
Florida
Zip
33770-8173
Phone Number
727-213-5379
Fax Number
272-213-5370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH8176 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2868 (Florida)
Definition
Definition to come...
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