Provider Demographics
NPI:1275790792
Name:DABNEY, INGRID GERTRUD (LMHC, CRC)
Entity Type:Individual
Prefix:MS
First Name:INGRID
Middle Name:GERTRUD
Last Name:DABNEY
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1673
Mailing Address - Country:US
Mailing Address - Phone:914-761-7043
Mailing Address - Fax:
Practice Address - Street 1:84 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1673
Practice Address - Country:US
Practice Address - Phone:914-761-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000453101Y00000X, 101YM0800X
NYCRC #00006721103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation