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Individual

CELESTE INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
890 HAYES ST, SAN FRANCISCO, CA 94117-2615
(415) 570-1510
Mailing address
151 ATHOL AVE, OAKLAND, CA 94606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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