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Kimberely L Ingram, LPC
Professional Counselor in Salem, Missouri
NPI 1790761617

Kimberely L Ingram is a Professional Counselor based in Clinton, MO and is specialized in Professional. Kimberely L Ingram practices in Salem, MO and has the professional credentials of LPC. The NPI Number for Kimberely L Ingram is 1790761617 and holds a License No. 002631 (Missouri).

The current practice location address for Kimberely L Ingram is 913 S Pershing Ave, Salem, MO and can be reached out via phone at 888-403-1071.

Location: 913 S Pershing Ave, Salem, MO, 64735-8804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790761617
Provider Name
Kimberely L Ingram
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
913 S Pershing Ave, Salem, MO, 64735-8804
Phone Number
888-403-1071
Fax Number
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
495023707 05 MO
institution
Provider Business Practice Location Address Details
Address
913 S Pershing Ave
City
Salem
State
Missouri
Zip
65560-1845
Phone Number
888-403-1071
Fax Number
person
Provider Business Mailing Address Details
Address
913 S Pershing Ave
City
Salem
State
Missouri
Zip
65560-1845
Phone Number
888-403-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
002631 (Missouri)
Definition
Definition to come...
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