Individual
WHITNEY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2950
(712) 255-0404
Mailing address
4400 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2950
(712) 255-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14085
IA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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