Raven Chyanne Ingram, BS
Counselor, Addiction (Substance Use Disorder) in Clearfield, PA. Individual provider (NPI-1).
NPI number1093471682
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1093471682
- Entity type
- Individual (NPI-1)
- Name
- Raven Chyanne Ingram
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2021
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | PA | Yes |
Practice location
214 Airport RdClearfield, PA 16830-6126
Phone 814-591-8947
Mailing address
214 Airport RdClearfield, PA 16830-6126
Phone 814-591-8947
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All 19 Addiction (Substance Use Disorder) Counselor providers in Clearfield · All 399 providers in Clearfield
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