Justin Gaston Ingram
Justin Gaston Ingram is a Professional Counselor in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
6800 Park Ten Blvd Ste 200SSan Antonio, TX 78213-4293
Phone: (210) 261-1060
Fax: (210) 261-1821
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 73148 (TX) |
|---|
Record details
| NPI number | 1598117038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 8, 2016 |
| Last updated in NPPES | November 2, 2023 |
| Certification date | November 2, 2023 |
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