Individual
MR. KERRY D INGRAM IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
120 W RACE AVE STE 2, SEARCY, AR 72143-4237
(501) 827-6160
(501) 400-7929
Mailing address
120 W RACE AVE STE 2, SEARCY, AR 72143-4237
(501) 827-6160
(501) 400-7929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1012078
AR
101YM0800X
Mental Health Counselor
A0801006
AR
Other
Enumeration date
11/21/2006
Last updated
03/21/2013
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