Mr. Detraveus Ingram, CADC-R
Mr. Detraveus Ingram, CADC-R is an Addiction (Substance Use Disorder) Counselor in Pinehurst, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2022
Practice location Address checks out
20 Page DrPinehurst, NC 28374-8847
Phone: (910) 235-9090
Fax: (910) 235-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CADC-27212 (NC) |
|---|
Record details
| NPI number | 1225786296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC-R |
| Sole proprietor | Yes |
| NPI enumerated | March 17, 2022 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | March 17, 2022 |
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