Individual provider · Type 1 NPI

Mitzi Ingram

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1639936982 Active

Practice location

3455 Wilkens Ave Lowr LEVEL20
Baltimore, MD 21229-5213

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT3387 (MD)

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

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About NPI 1639936982

Mitzi Ingram's National Provider Identifier is 1639936982, issued on Mar 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Mar 4, 2024.