Individual
STEPHANIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(281) 476-0088
Mailing address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(281) 476-0088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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