| Doctor Name: | CHARLES G INGLE |
| NPI Number: | 1639263247 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 00081 |
| Business Practice Address: | 100 E. Jefferson Prairie City, IA - 50228 |
| Business Phone Number: | 5159942617 |
| Business Fax Number: | 5159942365 |
| Mailing Address: | P.o. Box 430, PRAIRIE CITY |
| State: | IA |
| Postal Code: | 50228 |
| Phone Number: | 5159942617 |
| Fax Number: | 5159942365 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |