Healthcare Provider Details

I. General information

NPI: 1801163878
Provider Name (Legal Business Name): THERESA MARIE INSLEE LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 G ST STE 4
DAVIS CA
95616-3860
US

IV. Provider business mailing address

523 G ST STE 4
DAVIS CA
95616-3860
US

V. Phone/Fax

Practice location:
  • Phone: 916-955-3525
  • Fax:
Mailing address:
  • Phone: 916-955-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3752
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number82424
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: