Individual
MR. MICHAEL JOSEPH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1901 HUGUENOT RD, SUITE 201, RICHMOND, VA 23235-4311
(804) 378-3364
Mailing address
PO BOX 35395, RICHMOND, VA 23235-0395
(804) 378-3364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004949
VA
Other
Enumeration date
11/15/2010
Last updated
12/01/2011
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