Individual
MS. PAMELA KAY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D, LMSW, IADC
Contact information
Practice address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0204
Mailing address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 277-0809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12109
IA
101YM0800X
Mental Health Counselor
Primary
05635
IA
103TF0200X
Forensic Psychologist
—
—
1041C0700X
Clinical Social Worker
05635
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791665
—
IA
Enumeration date
10/02/2007
Last updated
10/23/2024
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