person
Mr. Gregory Kirby Ingraham, MSW,LCSW
Mental Health Counselor in Clinton, Illinois
NPI 1871780700

Gregory Kirby Ingraham is a Mental Health Counselor based in Clinton, IL and is specialized in Mental Health. Gregory Kirby Ingraham practices in Clinton, IL and has the professional credentials of MSW,LCSW. The NPI Number for Gregory Kirby Ingraham is 1871780700 and holds a License No. (Illinois).

The current practice location address for Gregory Kirby Ingraham is 1150 Route 54 W, Clinton, IL and can be reached out via phone at 217-935-9496 and via fax at 217-935-4508.

Location: 1150 Route 54 W, Clinton, IL, 61727-0616
person
Provider Profile Details
NPI Number
1871780700
Provider Name
Gregory Kirby Ingraham
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
1150 Route 54 W, Clinton, IL, 61727-0616
Phone Number
217-935-9496
Fax Number
217-935-4508
Provider Enumeration Date
09/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1150 Route 54 W
City
State
Zip
61727-2148
Phone Number
217-935-9496
Fax Number
217-935-4508
person
Provider Business Mailing Address Details
Address
1150 Route 54 W
City
State
Zip
61727-2148
Phone Number
217-935-9496
Fax Number
217-935-4508
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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