Individual
MR. CHRISTOPHER BRUCE INSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1201002
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1201002
LAC
AR
Enumeration date
05/17/2007
Last updated
05/08/2012
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