Organization
FAITH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERELY INGRAM LPC (LICENSED PROFESSIONAL COUNSELOR)
(573) 247-6086
Entity
Organization
Contact information
Practice address
119 W 4TH ST, SALEM, MO 65560-1255
(573) 247-6086
Mailing address
904 COUNTY ROAD 2270, SALEM, MO 65560-7923
(573) 247-6086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495023707
—
MO
Enumeration date
12/07/2020
Last updated
12/07/2020
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