Individual provider · Type 1 NPI
Lakisha T. Ingram, B.A
Addiction (Substance Use Disorder) Counselor · Jackson, TN
NPI number
1316488117
Active
Practice location
168 Greencastle Dr
Jackson, TN 38305
Fax (731) 668-0340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316488117
Lakisha T. Ingram, B.A's National Provider Identifier is 1316488117, issued on Mar 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, TN. The record was last updated on Mar 13, 2017.