Individual provider · Type 1 NPI
Garrett Ingram Sr., PhD, MA, MFT
Mental Health Counselor · Pocono Summit, PA
NPI number
1730873795
Active
Practice location
1110 Trapper Ln
Pocono Summit, PA 18346-7830
Mailing address
PO Box 1156
Pocono Summit, PA 18346-1156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1730873795
Garrett Ingram Sr., PhD, MA, MFT's National Provider Identifier is 1730873795, issued on Jun 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocono Summit, PA. The record was last updated on Jun 5, 2023.