JAY R INGRAM

LOUISVILLE, KY
NPI1275924565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: KY  LPCCCA00216553)
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
JAY R INGRAM
1213 ELLISON AVE
LOUISVILLE, KY 40204-1951
Phone number: 270-999-0643
Mailing Address
JAY R INGRAM
1213 ELLISON AVE
LOUISVILLE, KY 40204-1951
Phone number: