COREY M INGRAM LCADC NPI 1639850928

NPI Information

NPI: 1639850928
Provider Name: COREY M INGRAM, LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
204 HILLCREST AVE
TRENTON, NJ
ZIP 08618
Phone: (609) 508-2173
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Corey M Ingram, LCADC is an addiction (substance use disorder) counselor in Trenton, NJ. Corey M Ingram, LCADC NPI is 1639850928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

204 HILLCREST AVE
TRENTON, NJ
ZIP 08618-410
Phone: (609) 508-2173

The NPI 1639850928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00332100		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00332100	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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