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NPI Code Detail

MEDICARE: BRITTNEY NICOLE INGRAM MS PLPC

MEDICARE: BRITTNEY NICOLE INGRAM MS PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2025051674MO

General Provider Information

NPI Number : 1568135382
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY NICOLE INGRAM MS PLPC
Provider Business Mailing Address
First Line : 400 N 5TH ST STE 201
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-1808
Country : US
Telephone Number : 636-238-2615
Fax Number :
Provider Business Practice Location Address
First Line : 400 N 5TH ST STE 201
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-1808
Country : US
Telephone Number : 636-238-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2021
Last Update Date : 12/12/2025

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Directions to “ BRITTNEY NICOLE INGRAM MS PLPC” Practice Location

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