STACIE INGRAM

PORTSMOUTH, OH
NPI1275034308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.165511)
Enumeration Date2018-02-23
Last Update Date2023-01-09
Business Address
STACIE INGRAM CDCA
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number: 740-357-8615
Mailing Address
STACIE INGRAM CDCA
PO BOX 3095
DUBLIN, OH 43016-0046
Phone number: