Individual
KAITLYN MARIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, NCC
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 359-0666
Mailing address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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