Individual
LINDA C INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1316 GARFIELD ST, ENUMCLAW, WA 98022-2217
(253) 839-1697
Mailing address
1316 GARFIELD ST, ENUMCLAW, WA 98022-2217
(253) 839-1697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60365397
WA
101YP1600X
Pastoral Counselor
Primary
LH 60365397
WA
Other
Enumeration date
01/30/2010
Last updated
07/16/2013
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