Individual provider · Type 1 NPI

Detraveus Ingram, CADC-R

Addiction (Substance Use Disorder) Counselor · Pinehurst, NC

NPI number 1225786296 Active

Practice location

20 Page Dr
Pinehurst, NC 28374-8847

Call (910) 235-9090 Map

Fax (910) 235-9093

Mailing address

377 Needmore Rd
Carthage, NC 28327-9245

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADC-27212 (NC)

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

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About NPI 1225786296

Detraveus Ingram, CADC-R's National Provider Identifier is 1225786296, issued on Mar 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pinehurst, NC. The record was last updated on Aug 12, 2022.