Individual
FELICITY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
Mailing address
40 LINDEN RD, BURLINGTON, NJ 08016-1053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37FA00022900
NJ
106H00000X
Marriage & Family Therapist
Primary
37FA00022900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975877
—
NJ
Enumeration date
08/27/2021
Last updated
06/26/2024
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