DETRAVEUS INGRAM

PINEHURST, NC
NPI1225786296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  CADC-27212)
Enumeration Date2022-03-17
Last Update Date2022-08-12
Business Address
Mr. DETRAVEUS INGRAM CADC-R
20 PAGE DR
PINEHURST, NC 28374-8847
Phone number: 910-235-9090
Mailing Address
Mr. DETRAVEUS INGRAM CADC-R
377 NEEDMORE RD
CARTHAGE, NC 28327-9245
Phone number: 910-638-2134
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