| Patrick O'connell, Llc | |
|
2005 Valparaiso St Suite # 109 Valparaiso IN 46383-3137 | |
| (219) 465-8794 | |
| (219) 299-2430 |
| Full Name | Patrick O'connell, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2005 Valparaiso St, Valparaiso, Indiana |
| Authorized Official Name and Position | Patrick O'connell (OWNER) |
| Authorized Official Contact | 2194658794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick O'connell, Llc 2005 Valparaiso St Suite # 109 Valparaiso IN 46383-3137 Ph: (219) 465-8794 | Patrick O'connell, Llc 2005 Valparaiso St Suite # 109 Valparaiso IN 46383-3137 Ph: (219) 465-8794 |
| NPI Number | 1669867016 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669867016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39002253A (Indiana) | Primary |
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