NPI 1275360190

Jonathan Ingram, CSW

Practitioner Peer Specialist Farmington, NM

Practice location

Address: 653 W Arrington St, Farmington, NM 87401-8513
Phone: (505) 564-3733

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in New Mexico →

Community Health Worker

Other Service Providers Taxonomy 172V00000X Licence 0913224 (NM)

Other Community Health Worker providers in New Mexico →

Registry record

NPI: 1275360190
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2024
Record last updated: 18 May 2026

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.