Individual provider · Type 1 NPI
Charles Dewitt Ingram
Mental Health Counselor · Indianapolis, IN
NPI number
1053073692
Active
Practice location
5555 N Tacoma Ave Ste 2
Indianapolis, IN 46220-3548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1053073692
Charles Dewitt Ingram's National Provider Identifier is 1053073692, issued on Oct 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 2, 2022.