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Chaquita Ingram, COUNSELOR
Pastoral Counselor in Lauderdale Lakes, Florida
NPI 1417692625

Chaquita Ingram is a Pastoral Counselor based in Lauderdale Lakes, FL and is specialized in Pastoral. Chaquita Ingram practices in Lauderdale Lakes, FL and has the professional credentials of COUNSELOR. The NPI Number for Chaquita Ingram is 1417692625 and holds a License No. FTCA-CLI-1024-430 (Florida).

The current practice location address for Chaquita Ingram is 2690 Somerset Dr Apt Z307, Lauderdale Lakes, FL and can be reached out via phone at 561-709-9436.

Location: 2690 Somerset Dr Apt Z307, Lauderdale Lakes, FL, 33311-9475
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Provider Profile Details
NPI Number
1417692625
Provider Name
Chaquita Ingram
Credential
COUNSELOR
Provider Entity Type
Individual
Gender
Female
Address
2690 Somerset Dr Apt Z307, Lauderdale Lakes, FL, 33311-9475
Phone Number
561-709-9436
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FTCA-CLI-1024-430 01 FL PASTORAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2690 Somerset Dr Apt Z307
City
State
Zip
33311-9475
Phone Number
561-709-9436
Fax Number
person
Provider Business Mailing Address Details
Address
2690 Somerset Dr Apt Z307
City
State
Zip
33311-9475
Phone Number
561-709-9436
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
FTCA-CLI-1024-430 (Florida)
Definition
Definition to come...
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