Individual provider · Type 1 NPI
Janice M. Pettis-Ingram, ED.D, LLC
Professional Counselor · Dallas, TX
NPI number
1891776829
Active
Practice location
5201 S Westmoreland Rd
Dallas, TX 75237-1622
Fax (214) 339-2049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10714 (TX) |
Professional Counselor: Definition to come...
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About NPI 1891776829
Janice M. Pettis-Ingram, ED.D, LLC's National Provider Identifier is 1891776829, issued on Nov 8, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.