Individual
SHANNON INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 MAIN ST STE 101, LAUREL, MD 20707-4126
(240) 451-2171
Mailing address
7335 MARTIN FARM CIR, ROSEDALE, MD 21237-4076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14198
MD
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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