Individual
KIMBERLY JEAN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 NW 88TH ST STE 100, JOHNSTON, IA 50131-2951
(515) 727-1338
Mailing address
6207 SW 2ND ST, DES MOINES, IA 50315-5738
(515) 300-0054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121091
IA
Other
Enumeration date
08/26/2025
Last updated
03/18/2026
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