Ingram Malcolm Kerry Dirton
Ingram Malcolm Kerry Dirton is a Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
2102 W Bethany Home RdPhoenix, AZ 85015-1935
Phone: (602) 774-4745
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LAC-08076T (AZ) |
|---|
Record details
| NPI number | 1275302036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 21, 2023 |
| Last updated in NPPES | July 15, 2026 |
| Certification date | July 15, 2026 |
| Mailing address | 1090 Commerce Dr, Prescott, AZ 86305-3700 |
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