Individual
MRS. ZILLAH LISE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LGPC
Contact information
Practice address
5457 TWIN KNOLLS RD, SUITE 301, COLUMBIA, MD 21045-3259
(410) 864-6386
(410) 992-6671
Mailing address
5457 TWIN KNOLLS RD, SUITE 301, COLUMBIA, MD 21045-3259
(410) 864-6386
(410) 992-6671
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LGP7514
MD
Other
Enumeration date
02/12/2017
Last updated
02/12/2017
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