Individual provider · Type 1 NPI

Timothy Leon Ingram, M.ED.

Mental Health Counselor · Jacksonville, FL

NPI number 1003966474 Active

Practice location

9951 Atlantic Blvd, Ste 170
Jacksonville, FL 32225-6584

Call (904) 482-4105 Map

Fax (904) 482-4106

Mailing address

113 Pine St
Neptune Beach, FL 32266-6050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH1575 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1003966474

Timothy Leon Ingram, M.ED.'s National Provider Identifier is 1003966474, issued on Jan 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 19, 2009.