Individual
MRS. MELISSA ANN INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
1 W FIRESTORM WAY, GLENDALE, AZ 85306-3216
(607) 221-2032
Mailing address
4410 W UNION HILLS DR., SUITE 7 - #283, GLENDALE, AZ 85308-1036
(607) 221-2032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004556-1
NY
101YP2500X
Professional Counselor
Primary
16753
AZ
Other
Enumeration date
02/27/2016
Last updated
08/14/2022
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