Phillip Ingersoll Valid NPI
Individual provider · Counselor · Noble, OK
- NPI
- 1003186826
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-01-10
- Last updated
- 2012-01-10
Practice location
408 N 6th St
Noble, OK 73068-8473
(405) 568-2698