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Kristin Kay Ingram
Addiction (Substance Use Disorder) Counselor in Ham Lake, Minnesota
NPI 1912772203

Kristin Kay Ingram is an Addiction (Substance Use Disorder) Counselor based in Ham Lake, MN and is specialized in Addiction (Substance Use Disorder). Kristin Kay Ingram practices in Ham Lake, MN. The NPI Number for Kristin Kay Ingram is 1912772203 and holds a License No. 306705 (Minnesota).

The current practice location address for Kristin Kay Ingram is 1702 171St Ave Ne, Ham Lake, MN and can be reached out via phone at 952-454-3655.

Location: 1702 171St Ave Ne, Ham Lake, MN, 55304-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912772203
Provider Name
Kristin Kay Ingram
Credential
Provider Entity Type
Individual
Gender
Female
Address
1702 171St Ave Ne, Ham Lake, MN, 55304-4917
Phone Number
952-454-3655
Fax Number
Provider Enumeration Date
11/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1702 171St Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-4917
Phone Number
952-454-3655
Fax Number
person
Provider Business Mailing Address Details
Address
1702 171St Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-4917
Phone Number
952-454-3655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
306705 (Minnesota)
Definition
Definition to come...
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