Most Relevant Information
Provider Data
| NPI Number: | 1003367608 |
| Provider Name: | CORRIE INGRAM LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT80315 |
Most Important Dates
| Enumeration Date: | 10/18/2016 |
| Last Updated: | 10/18/2016 |
Provider Practice Location
1910 OLYMPIC BLVD
STE 210
WALNUT CREEK
CA
945965096
Practice Location Phone/Fax
| Phone: | 9259533048 |
| Fax: |
Provider Mailing Location
1910 OLYMPIC BLVD
STE 210
WALNUT CREEK
CA
945965096
Provider Mailing Phone/Fax
| Phone: | 9259533048 |
| Fax: |