Individual provider · Type 1 NPI

Ku'wonna Ingram

Mental Health Counselor · Columbus, GA

NPI number 1770749301 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Call (706) 596-5583 Map

Fax (706) 596-5589

Mailing address

2901 Gatewood Dr
Phenix City, AL 36870-2335

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1770749301

Ku'wonna Ingram's National Provider Identifier is 1770749301, issued on Aug 4, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Aug 4, 2008.