Individual
ALAN DRAKE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
3513 EDNA ST, FAYETTEVILLE, NC 28311-3245
(910) 884-0264
Mailing address
3513 EDNA ST, FAYETTEVILLE, NC 28311-3245
(910) 884-0264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6716
NC
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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