Individual
MIA ANTONETTE GILBERT-INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
1720 N 16TH ST STE K, COUNCIL BLUFFS, IA 51501-0109
(712) 256-4420
Mailing address
13802 TREGARON RIDGE AVE APT 54, BELLEVUE, NE 68123-4838
(910) 922-9036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122839
IA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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