Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitzi Ingram

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639936982

Mitzi Ingram is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2024.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

3455 Wilkens Ave Lowr LEVEL20
Baltimore, MD 21229-5213
Phone: (410) 646-6970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ADT3387 (MD)

Record details

NPI number1639936982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

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