Individual
AMBER INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, PSS
Contact information
Practice address
2240 TERREL DR, MEDFORD, OR 97501-8140
(458) 226-5347
Mailing address
2240 TERREL DR, MEDFORD, OR 97501-8140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2024
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