Individual provider · Type 1 NPI
Jay R. Ingram
Professional Counselor · Louisville, KY
NPI number
1275924565
Active
Practice location
1213 Ellison Ave
Louisville, KY 40204-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPCCCA00216553 (KY) |
Professional Counselor: Definition to come...
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About NPI 1275924565
Jay R. Ingram's National Provider Identifier is 1275924565, issued on Feb 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Feb 9, 2015.