Gregory Kirby Ingraham in Clinton - Mental Health
Gregory Kirby Ingraham - NPI 1871780700
Gregory Kirby Ingraham is a Mental Health in Clinton, Illinois. Gregory Kirby Ingraham practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gregory Kirby Ingraham is 1871780700. The last update date is 2007-09-25.
Gregory Kirby Ingraham's current location address is 1150 Route 54 W, Clinton, Illinois. You can contact this provider via phone number 2179359496 and fax number 2179354508. The mailing address for Gregory Kirby Ingraham is 1150 Route 54 W, Clinton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Kirby Ingraham |
|---|---|
| Address | 1150 Route 54 W, Clinton, Illinois |
| Phone Number | 2179359496 |
| Fax Number | 2179354508 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1871780700 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 1150 Route 54 W |
|---|---|
| City | Clinton |
| State | Illinois (IL) |
| Post Code | 617272148 |
| Phone Number | 2179359496 |
| Fax Number | 2179354508 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Gregory Kirby Ingraham by the Centers for Medicare & Medicaid Services?
The Gregory Kirby Ingraham has been assigned the NPI (National Provider Identifier) 1871780700. 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 share the complete physical location address where Gregory Kirby Ingraham's facilities are situated?
The facilities of Gregory Kirby Ingraham are physically located at the following address: 1150 Route 54 W, Clinton, IL, 617272148.
What is the Gregory Kirby Ingraham's specialty and taxonomy code?
The Gregory Kirby Ingraham's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871780700 to Gregory Kirby Ingraham?
The Gregory Kirby Ingraham received its 1871780700 assignment from the Centers for Medicare & Medicaid Services on 2007-09-25.
As of what date was the information regarding Gregory Kirby Ingraham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Kirby Ingraham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.