Individual provider · Type 1 NPI

Taphanique Ingram

Mental Health Counselor · Lawrenceville, GA

NPI number 1487420501 Active

Practice location

760 Longleaf Blvd
Lawrenceville, GA 30046-8458

Call (673) 376-3800 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487420501

Taphanique Ingram's National Provider Identifier is 1487420501, issued on Nov 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 29, 2023.