Individual
DR. GARRETT INGRAM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MA, MFT
Contact information
Practice address
1110 TRAPPER LN, POCONO SUMMIT, PA 18346-7830
(646) 584-5320
Mailing address
PO BOX 1156, POCONO SUMMIT, PA 18346-1156
(646) 584-5320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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