Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1093138695 |
---|---|
Provider Name | Mr. Christopher Narcisse |
First Address | Pike Road, AL 36064-2603 |
Second Address | Thomasville, AL 36784-3725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2014 |
Last Update Date | 03/02/2014 |