Individual
MRS. KESHIA DIANE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
714 J CLYDE MORRIS BLVD STE 180, NEWPORT NEWS, VA 23601-1535
(757) 706-3309
Mailing address
4A DORSEY RD, APT A, NEWPORT NEWS, VA 23606
(757) 239-1786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009950
VA
Other
Enumeration date
09/01/2020
Last updated
02/26/2025
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