DESIREE LU INGRAM

ASHLAND, OR
NPI1477183945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
DESIREE LU INGRAM
607 SISKIYOU BLVD
ASHLAND, OR 97520-2139
Phone number: 541-482-1718
Mailing Address
DESIREE LU INGRAM
607 SISKIYOU BLVD
ASHLAND, OR 97520-2139
Phone number: 541-482-1718