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Justin Gaston Ingram
Professional Counselor in San Antonio, Texas
NPI 1598117038

Justin Gaston Ingram is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Justin Gaston Ingram practices in San Antonio, TX. The NPI Number for Justin Gaston Ingram is 1598117038 and holds a License No. 73148 (Texas).

The current practice location address for Justin Gaston Ingram is 6800 Park Ten Blvd Ste 200S, San Antonio, TX and can be reached out via phone at 210-261-1060 and via fax at 210-261-1821.

Location: 6800 Park Ten Blvd Ste 200S, San Antonio, TX, 78213-4293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598117038
Provider Name
Justin Gaston Ingram
Credential
Provider Entity Type
Individual
Gender
Male
Address
6800 Park Ten Blvd Ste 200S, San Antonio, TX, 78213-4293
Phone Number
210-261-1060
Fax Number
210-261-1821
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6800 Park Ten Blvd Ste 200S
City
San Antonio
State
Texas
Zip
78213-4293
Phone Number
210-261-1060
Fax Number
210-261-1821
person
Provider Business Mailing Address Details
Address
6800 Park Ten Blvd Ste 200S
City
San Antonio
State
Texas
Zip
78213-4293
Phone Number
210-261-1060
Fax Number
210-261-1821
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
73148 (Texas)
Definition
Definition to come...
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