MITZI INGRAM NPI 1639936982

NPI Information

NPI: 1639936982
Provider Name: MITZI INGRAM
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD
ZIP 21229
Phone: (410) 646-6970
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Mitzi Ingram is an addiction (substance use disorder) counselor in Baltimore, MD. Mitzi Ingram NPI is 1639936982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD
ZIP 21229-213
Phone: (410) 646-6970

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ADT3387	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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