Individual provider · Type 1 NPI

Jennifer Mavrick Ingram, LMHC, CAP

Mental Health Counselor · Largo, FL

NPI number 1114125978 Active

Practice location

1301 Seminole Blvd, Suite 103
Largo, FL 33770-8173

Call (727) 213-5379 Map

Fax (272) 213-5370

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2868 (FL)
Mental Health Counselor Primary 101YM0800XMH8176 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1114125978

Jennifer Mavrick Ingram, LMHC, CAP's National Provider Identifier is 1114125978, issued on Jul 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Largo, FL. The record was last updated on Jul 18, 2011.