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NPI Code Detail

MEDICARE: DUSTIN W INSELL

MEDICARE: DUSTIN W INSELL
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 Counselor

General Provider Information

NPI Number : 1134422215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN W INSELL
Provider Business Mailing Address
First Line : PO BOX 839
Second Line :
City : CORINTH
State : MS
Zip : 38835-0839
Country : US
Telephone Number : 662-286-9883
Fax Number : 662-284-9836
Provider Business Practice Location Address
First Line : 2664 S HARPER RD
Second Line :
City : CORINTH
State : MS
Zip : 38834-6723
Country : US
Telephone Number : 662-287-4055
Fax Number : 662-287-4114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2010
Last Update Date : 12/13/2010

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Directions to “ DUSTIN W INSELL ” Practice Location

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