Individual provider · Type 1 NPI

Raven Chyanne Ingram, BS

Addiction (Substance Use Disorder) Counselor · Clearfield, PA

NPI number 1093471682 Active

Practice location

214 Airport Rd
Clearfield, PA 16830-6126

Call (814) 591-8947 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093471682

Raven Chyanne Ingram, BS's National Provider Identifier is 1093471682, issued on Nov 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearfield, PA. The record was last updated on Nov 9, 2021.