Individual
ANNA CUNNINGHAM INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1808 OVER LAKE DR SE STE D, CONYERS, GA 30013-6608
(770) 648-1308
Mailing address
65 SAVANNAH CIRCLE, COVINGTON, COVINGTON, GA 30016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011424
GA
Other
Enumeration date
02/28/2020
Last updated
11/08/2024
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