Individual provider · Type 1 NPI

Carolyn Mavis Ingram, MS

Counselor · Tulsa, OK

NPI number 1366793986 Active

Practice location

6216 S Lewis Ave, Suite 180
Tulsa, OK 74136-1044

Call (918) 960-7852 Map

Mailing address

546 E Pine Pl
Tulsa, OK 74106-4340

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366793986

Carolyn Mavis Ingram, MS's National Provider Identifier is 1366793986, issued on Sep 21, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 21, 2012.