| Mr Detraveus Ingram, CADC-R | |
|
20 Page Dr, Pinehurst, NC 28374-8847 | |
| (910) 235-9090 | |
| (910) 235-9093 |
| Full Name | Mr Detraveus Ingram |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 Page Dr, Pinehurst, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225786296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC-27212 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Detraveus Ingram, CADC-R 377 Needmore Rd, Carthage, NC 28327-9245 Ph: (910) 638-2134 | Mr Detraveus Ingram, CADC-R 20 Page Dr, Pinehurst, NC 28374-8847 Ph: (910) 235-9090 |
Daniel Gschwind, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Page Dr Ste 7&8, Pinehurst, NC 28374 Phone: 910-235-9090 | |
Jennifer Fay Marinellie, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Memorial Dr, Pinehurst, NC 28374 Phone: 910-295-2040 | |
Anna Marie Vosberg, MSW, LCAS(R) Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Page Dr Ste 8, Pinehurst, NC 28374 Phone: 910-235-9090 Fax: 910-235-9093 | |
Mrs. Anne Devon Dutcher Burnore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1000 | |
Carly Elizabeth Meadows, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Memorial Dr, Pinehurst, NC 28374 Phone: 910-336-2904 | |
Andrea J Daniel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Memorial Dr, Pinehurst, NC 28374 Phone: 919-295-6853 Fax: 910-295-9183 | |
Angeleque Rae Schmitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Page Dr, Pinehurst, NC 28374 Phone: 910-235-9093 |