Individual provider · Type 1 NPI

Jeanine Ingram

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1508481201 Active

Practice location

3815 Lockland Dr
Los Angeles, CA 90008-3533

Call (213) 595-1723 Map

Mailing address

515 E 6th St
Los Angeles, CA 90021-1009

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508481201

Jeanine Ingram's National Provider Identifier is 1508481201, issued on Jun 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 9, 2020.