Asa Ingram is a Counselor in Lake Elsinore, California. Asa Ingram practices all healthcare services and medical treatments related to Counselor. The NPI Number for Asa Ingram is 1164613733. The last update date is 2007-08-07.
Asa Ingram's current location address is 565 Chaney St, Lake Elsinore, California. You can contact this provider via phone number 9516745354 and fax number 9516745227. The mailing address for Asa Ingram is 565 Chaney St, Lake Elsinore, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Asa Ingram |
|---|---|
| Address | 565 Chaney St, Lake Elsinore, California |
| Phone Number | 9516745354 |
| Fax Number | 9516745227 |
| Sole Proprietor | N |
| Credentials | CAS |
NPI Number Detail
| NPI Number | 1164613733 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | 565 Chaney St |
|---|---|
| City | Lake Elsinore |
| State | California (CA) |
| Post Code | 925302722 |
| Phone Number | 9516745354 |
| Fax Number | 9516745227 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 5542 |
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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's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique identifier code issued to Asa Ingram by the Centers for Medicare & Medicaid Services?
The Asa Ingram has been assigned the NPI (National Provider Identifier) 1164613733. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Asa Ingram is physically located?
The Asa Ingram is physically situated at the following address: 565 Chaney St, Lake Elsinore, CA, 925302722.
What is the Asa Ingram's area of specialization and corresponding taxonomy classification?
The Asa Ingram's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Asa Ingram receive its 1164613733 assignment from the Centers for Medicare & Medicaid Services?
The Asa Ingram was assigned its 1164613733 by the Centers for Medicare & Medicaid Services on 2007-08-07.
As of what date were the details related to Asa Ingram most recently updated or revised?
The information pertaining to Asa Ingram, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-07.