Individual
MRS. AMI INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 874-7634
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61363284
WA
104100000X
Social Worker
SC60510696
WA
1041C0700X
Clinical Social Worker
SC60510696
WA
Other
Enumeration date
04/11/2012
Last updated
10/13/2022
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