Ingram, Christi

Ingram, Christi is an sole proprietor health care provider with primary practice located at 949 Bridgeport Ave , Milford CT 06460-3142. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ingram, Christi can be contacted via phone (203) 878-6365.

Contact Information

Primary practice address
949 Bridgeport Ave Milford CT 06460-3142
Phone: (203) 878-6365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006231 Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000670 Connecticut

Profile Details

NPI number 1649370156
LBN Legal business name Ingram, Christi
Credentials LCSW, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jun 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649370156 NPPES
Connecticut MEDICAID 004039244

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