Individual provider · Type 1 NPI

Ingrid Lockley

Addiction (Substance Use Disorder) Counselor · Petersburg, VA

NPI number 1174311997 Active

Practice location

2623 Park Ave
Petersburg, VA 23805-2420

Mailing address

3412 Club House Ct Apt C
Richmond, VA 23294-8744

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0709025494 (VA)

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

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About NPI 1174311997

Ingrid Lockley's National Provider Identifier is 1174311997, issued on Apr 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Apr 30, 2025.