Individual
DR. CHRISTINA LOCKE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4103 S TEXAS AVE STE 203, BRYAN, TX 77802-4043
(979) 361-7907
Mailing address
4103 S TEXAS AVE STE 203, BRYAN, TX 77802-4043
(979) 361-7907
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37498
TX
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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