Individual provider · Type 1 NPI
Mallory Ingram, MA, LCPC, LMHC, R-DMT
Mental Health Counselor · Boston, MA
NPI number
1275080293
Active
Practice location
867 Boylston St Fl 5
Boston, MA 02116-2774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 12080 (MA) |
| Mental Health Counselor | 101YM0800X | 178.011231 (IL) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Boston
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About NPI 1275080293
Mallory Ingram, MA, LCPC, LMHC, R-DMT's National Provider Identifier is 1275080293, issued on Sep 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jan 27, 2026.