Doctor Name: | JAMES RANDOLF INGRAM |
NPI Number: | 1619191046 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LMFT |
License Number: | 11835 |
Business Practice Address: | 2625 N Josey Ln Suite 250 Carrollton, TX - 750075543 |
Business Phone Number: | 9724662800 |
Business Fax Number: | |
Mailing Address: | 4253 Hunt Drive, Apt. 1410 CARROLLTON |
State: | TX |
Postal Code: | 75010 |
Phone Number: | 2147706305 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 11835 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |