Individual
CHANTELLE LATRESE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4828 ASHFORD DUNWOODY RD, DUNWOODY, GA 30338-4832
(470) 504-1703
Mailing address
2881 SHILLINGS CHASE CT NW, KENNESAW, GA 30152-4170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC010565
GA
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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