MICHAEL INGRAM

SANTA ROSA, CA
NPI1891961124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-05-06
Last Update Date2008-05-06
Business Address
MICHAEL INGRAM
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7649
Mailing Address
MICHAEL INGRAM
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7649
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