Individual provider · Type 1 NPI

Kaitlin Ingram

Mental Health Counselor · Campbell, CA

NPI number 1265106330 Active

Practice location

197 E Hamilton Ave Ste 203
Campbell, CA 95008-0261

Mailing address

1694 Cherry Grove Dr
San Jose, CA 95125-5509

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265106330

Kaitlin Ingram's National Provider Identifier is 1265106330, issued on Aug 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Campbell, CA. The record was last updated on Aug 3, 2021.