Micah Ingram, CDCA
Micah Ingram, CDCA is a Substance Abuse Rehabilitation Facility in Warren, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
4930 Enterprise Dr NWWarren, OH 44481-8706
Phone: (330) 787-0955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 177947 (OH) |
|---|
Record details
| NPI number | 1760158034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | August 18, 2021 |
| Certification date | August 18, 2021 |
| Mailing address | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 |
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Christine Hukari
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Chad Huston
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Dalton Kinder, CDCA
4930 Enterprise Dr NW, Warren, OH 44481-8706 · (330) 787-0955
-
Dayna Kinder, CDCA
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Violet Kopiak, CDCA
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Shane Kramer, CDCA
4930 Enterprise Dr NW, Warren, OH 44481-8706 · (330) 787-0955