Individual
CHERYNISHA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 WHITNEY AVE APT 2107, GRETNA, LA 70056
(504) 513-0298
Mailing address
1117 WHITNEY AVE APT 2107, GRETNA, LA 70056-5004
(504) 513-0298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
05/17/2018
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