Individual provider · Type 1 NPI

Nichelle Renee Ingram

Mental Health Counselor · Fremont, CA

NPI number 1104102391 Active

Practice location

40950 Chapel Way
Fremont, CA 94538-4236

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104102391

Nichelle Renee Ingram's National Provider Identifier is 1104102391, issued on Nov 1, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on Nov 1, 2011.