GREGORY INGRAM

IRVINE, CA
NPI1396168555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  RI-I1309250039)
Enumeration Date2014-01-23
Last Update Date2014-01-23
Business Address
GREGORY INGRAM
14795 JEFFREY RD STE 207
IRVINE, CA 92618-0416
Phone number: 949-654-8207
Mailing Address
GREGORY INGRAM
14795 JEFFREY RD STE 207
IRVINE, CA 92618-0416
Phone number: 949-654-8207
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