LAKISHA T INGRAM

JACKSON, TN
NPI1316488117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-13
Last Update Date2017-03-13
Business Address
Mrs. LAKISHA T INGRAM B.A
168 GREENCASTLE DR
JACKSON, TN 38305
Phone number: 731-614-3572
Mailing Address
Mrs. LAKISHA T INGRAM B.A
168 GREENCASTLE DR
JACKSON, TN 38305-3834
Phone number: 731-614-3572