NPI 1205375136

Zillah Lise Ingram, MEDNCCLGPC

Practitioner Marriage & Family Therapist Columbia, MD

Practice location

Address: 5457 Twin Knolls Rd Suite 301, Columbia, MD 21045-3259
Phone: (410) 864-6386
Fax: (410) 992-6671

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LGP7514 (MD)

Other Marriage & Family Therapist providers in Maryland →

Registry record

NPI: 1205375136
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2017
Record last updated: 12 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.