Individual provider · Type 1 NPI

Asa Ingram, CAS

Counselor · Perris, CA

NPI number 1164613733 Active

Practice location

2055 N Perris Blvd
Perris, CA 92571-2509

Call (951) 674-5354 Map

Fax (951) 674-5227

Mailing address

565 Chaney St
Lake Elsinore, CA 92530-2722

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X5542 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164613733

Asa Ingram, CAS's National Provider Identifier is 1164613733, issued on Aug 7, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Perris, CA. The record was last updated on Aug 7, 2007.