Individual
JESSLYN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4660 MARSH RD, OKEMOS, MI 48864-2143
(517) 488-4659
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006835
MI
Other
Enumeration date
01/07/2019
Last updated
09/05/2019
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