Individual
CONSTANCE INGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3128 HUDSON XING STE 1, MCKINNEY, TX 75070-6556
(469) 252-7090
(469) 617-7052
Mailing address
3128 HUDSON XING STE 1, MCKINNEY, TX 75070-6556
(469) 252-7090
(469) 617-7052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
78905
TX
101YM0800X
Mental Health Counselor
78905
TX
101YP2500X
Professional Counselor
Primary
78905
TX
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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